Berrak Hücreli Hidradenoma (Ekrin Akrospiroma)

Year 1974, Volume: 27 Issue: 1-2, 261 - 278, 30.06.1974

Atilla Taçoy

Abstract

Çalışma 1947 - 1971 yılları arasında kürsümüze gelmiş ve incelenmiş 84471 biopsi materyali içinde deriye ait benign tümör tanımlanmış 965 etkinlik hazırlıkları çıkarılarak yeniden incelendi. Bu olaylardan ter bezi tümörü olarak tanımlanmışlar, eski tanışmalarına en son görüşlere göre yeniden değer kazandırıldılar. Tanımlanan 51 olaylık ter bezi tümörü içinde Clear Cell* Hidradenoma 31 olayla (% 60.7) en geniş yer tutuldu.
Eskiden kıl foliküllerinden veya ter bezlerinin miyoepitelyal yapısından köken almış, apokrin natürde bir tümör olarak bilinen Clear Cell Hidradenornaların, son zamanlarda yapılan daha ileri tedavilere göre, birçok otörlerce ekrin natürde oldukları ve köken de kanal yapılarını ortaya atılmıştır.
Olayların histomorfolojik özellikleri, Johnson ve Helwig tarafından ortaya çıkan konulmus en son olaylara göre değerlendirilmiştir.
Sonuç olarak, bu tümörlerin kökenlerini ekrin ter kanallarından almışlar ve «Ekrin Akrospirorna» adı altında incelenmelerinin daha uygun bir şekilde temin edilebildiğine inanmaktayız.

Keywords

hücre , patoloji , eccrine acrospiroma , ter bezi

Clear Cell Hidradenoma (Eccrine Acrospiroma)

Abstract

The study included 965 events in which benign skin tumors were identified among 84471 biopsy materials that were examined and brought to our department between 1947 and 1971, and re-examined. These events were identified as sweat gland tumors, and their old acquaintances were re-evaluated according to the latest views. Among the 51 events of sweat gland tumors identified, Clear Cell* Hidradenoma had the largest place with 31 events (60.7%).

Clear Cell Hidradenomas, previously known as an apocrine tumor originating from hair follicles or the myoepithelial structure of sweat glands, have recently been shown by many authors to be eccrine in nature and to have canal structures as their origin, according to more advanced treatments.
The histomorphological features of the events were evaluated according to the latest events established by Johnson and Helwig.
In conclusion, we believe that these tumors originate from the eccrine sweat ducts and are more appropriately studied under the name of «Eccrine Acrospiroma».

Keywords

cell , pathology , eccrine acrospiroma , sweat gland

References

• 1 —Azzopardi, J. G. : Clear cell hidradenoma. J. Path. Bact. 76:379, 1958.
• 2 —Efskind, J., Eker, R. : Myoepitelioma of the Skin. Acta Dermatovener. 34:270, 1954.
• 3 —Finck, F. M., Schwinn, C. P., Keasbey, L. E. : Clear Cell Hidradenoma of the Breast. Cancer. 22: 125, 1968.
• 4 —Fussaro, R. M. , Goltz, R. W. : A Comparative Study of the PAS and Alcian Blue Stains. J. Invest. Derrn. 35:305, 1960.
• 5 —Fussaro, R. M., Goltz, R. W. : The Normal Human Eccrine and Apocrine Glands. J. Invest. Derm. 36: 79, 1961.
• 6 —Fussaro, R. Me, Goltz, R. W. : Histochemically Demonstrable Carbohydrates of Appendageal Tumors of the Skin. I Benign Eccrine Gland Tumor. J. Invest. Derm. 36:407, 1961.
• 7 —Greer, C. H. : Clear Cell Hidradenoma of the Eyelid. Arch. Ophthal. 80 - 2:220, 1968.
• 8 —Heading-ton, J. T, , French, A. J. : Primary Neoplasm of the Hair Follicie. Arch. Derm. 86:430, 1962.
• 9 —Helwig, E. B. : Tumor Seminar. J. Med. 59:652, 1963.
• 10 — Johnson, L. B. Jr., Helwig, E. B. : Eccrine Acrospirorna. A. Clinicopatholgic Study. Cancer. 23:641, 1969.
• 11 —Keasbey, L. E. , Hadley, C. G. : Clear Cell Hidradenoma. Report of Three Cases With Widespread Metastases. Cancer. 7:934, 1954.
• 12 —Kersting, D, W. : Clear Cell Hidradenoma and Hidrocarcinoma. Arch. Derm. 87:323, 1963.
• 13 —Kersting, D. w t, Helwig, E. B, : Eccrine Spiradenoma. A. M. A. Arch, Derm. 73 - 3:199, 1958.
• 14 —Kozlowski, J., Szymar, B. : Hidradenoma Clarocellulare. Ex. Med. 23:5371, 1970.
• 15 — Kuta, D.n Rupec, M., Friedrich, H. C. : Clear Cell Hidradenoma. Ex. Med. 22:3373, 1970.
• 16 —Langeron, P. , Saout, J. : Benign Tumors of Sweat Gland. Nodüler Hidradenoma. Ex. Med. 22.•891, 1969.
• 17 —Lever, W. F. : Histopahology of the Skin. Fourth ED. J. B. Lippincott Comp. Phil. 1967.
• 18 Lever, W. F. , Castleman, B. : Clear Cell Myoepitelioma of the Skin. Am. J. Path. 28:691, 1952.
• 19 Liu, Y. : The Histogenesis of Clear Cell Papillary Carcinoma of the Skin. J. Path. 25:93, 1949.
• 20 — Lobitz, W. C. Jr., Holyoke, J. B., Montagna, W. : The Epidermal Sweat Duct Unit. A. Morphologic and Biologic Enstity. J. Invest. Derm. 22:.151, 1954.
• 21 — Lund, H. Z. : Tumors of the Skin. (Atlas of Tumor Pathology). A. F. I. P. Section - I, Fascicle - 2 1957.
• 22 — Mackenzie, D. H. : .A Clear Cell Hidrocarcinoma with Metastases Cancer. 10:1021, 1957.
• 23 — O'Hara, J. M., Bensch, K., ïonnides, G. , Klaus, N. S. : Eccrine Sweat Gland Adenoma Clear Cell Typ. A Histochemical Studve Cancer: 19: 1438* 1966.
• 24 — Panja, S. K. : Adnexal Carcinomas. Ex. Med. 23:527, 1970.
• 25 — Pinkus, H. , Robin, J. R., Goldmann, R. Eccrine Poroma. Arch. Derm. 74:511, 1956.
• 26 — Robinson, E. S. : Clear Cell Myoepitelioma of the Vulva. Ex. Med. 22:395, 1969.
• 27 — Sautler, Re, Eberhartinger, C. : Malignant Clear Cell Myoepitelioma. Dermatologica. 130 :340, 1965.
• 28 — Sprun, H., Kaufmann, K. : Recurrent Clear Cell Hidradenoma (Malignant Sweat Gland Tumor) and Sebaceus Ca. (Epitelioma) of the Skin and Multipotential Rezerve Cell Theory. Ex. Med. 24:2854, 1971.
• 29 Stout, A. A., Cooley, S. G. E. : Carcinoma of Sweat Glands. Cancer. 4:521, 1954.
• 30 — Von Bader, G. : Classification and Malignancy of Sweat Gland Tumors. Ex. Med. 22:107, 1969.
• 31 — Winkelmann, R. K. , Mc Leod, W. D. : The Dermal Duct Tumor. Arch. Derm. 94:50, 1966.