International Journal of Clinical & Medical Images

Clinical Image

The patient is an 82-year-old female with no significant medical history who presented for evaluation for a bleeding scalp nodule. It appeared 6 months ago as a papule, asymptomatic. Physical examination showed a large nodule, measuring 2 cm × 2 cm × 2 cm in diameter, warm, painful and firm on palpation, letting pus weld (Figure 1). The dermoscope revealed an absence of a pigmented network, a tree trunk vascularization, blue gray blood cells, which led us to basal cell carcinoma (Figure 2). The patient underwent surgical excision with healthy skin margins of 0.5 cm. Histology returned in favour of a benign hidradenoma with no signs of malignancy. Directed healing was used rather than skin grafting with good progress under alginate dressings

Keywords: Hidradenoma; Dermoscope

Declaration of Interests

he authors declare that they have no competing interests.