Poroid hidradenoma is a rare adnexal neoplasm that presents with slow‑growing solitary dermal or
subcutaneous nodules with pink, red, or blue coloration. Malignant transformation has been reported in
about 1%; however, clinical and histologic characteristics may present similarly with malignant neoplasms.
A 60‑year‑old, Filipino, female presented with a 1‑month history of a solitary, brownish‑black papule
on the right cheek progressing to a translucent friable nodule with associated bleeding after minimal
trauma. The patient was initially assessed as a case of basal cell carcinoma due to its rapid growth.
Hence, the patient was referred to a dermatologic surgeon for biopsy. Poroid hidradenoma was confirmed
histologically and was managed with local excision. Poroid hidradenoma presenting with rapid growth
is a very rare occurrence.
Neoplasms