Clinicopathological study of 13 cases of squamous cell carcinoma complicating hidradenitis suppurativa.
BACKGROUND
To the best of our knowledge, only 52 cases of squamous cell carcinoma (SCC) complicating hidradenitis suppurativa (HS) have been reported since 1958. We describe 13 new cases.


METHODS
We propose a clinical and histological analysis of our cases. We include these results in a review of previously reported cases to analyze a total of 65 patients. In our series of 13 cases, we also investigate the presence of human papillomavirus (HPV) in tumor samples, by polymerase chain reaction (PCR) on paraffin-embedded material.


RESULTS
Malignant transformation affects mainly men with a long-term history of genitoanal HS. Although our cases were 7 well-differentiated carcinomas and 6 verrucous carcinomas, lymphatic and visceral metastasis occurred in 2 and 3 cases, respectively. With PCR, we demonstrated presence of HPV in genitoanal tumoral lesions, principally HPV-16.


CONCLUSIONS
SCC complicating HS evolves poorly, despite a good histological prognosis. Our results sustain the implication of HPV in the malignant transformation of HS.
Lavogiez
C
C
Université de Lille 2 et Clinique de Dermatologie, CHRU de Lille, Lille, France.
Delaporte
E
E
Darras-Vercambre
S
S
Martin De Lassalle
E
E
Castillo
C
C
Mirabel
X
X
Laurent
F
F
Patenotre
P
P
Gheit
T
T
Talmant
J C
JC
Beylot-Barry
M
M
Martinot
V
V
Piette
F
F
Aubin
F
F
Mortier
L
L
D000293:Adolescent; D000328:Adult; D001005:Anus Neoplasms / Q000150:complications / Q000473:pathology* / Q000821:virology; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000473:pathology* / Q000821:virology; D018289:Carcinoma, Verrucous / Q000150:complications / Q000473:pathology / Q000821:virology; D002471:Cell Transformation, Neoplastic / Q000473:pathology; D005260:Female; D017497:Hidradenitis Suppurativa / Q000150:complications / Q000473:pathology* / Q000821:virology; D052162:Human papillomavirus 16; D006801:Humans; D008297:Male; D030361:Papillomavirus Infections / Q000150:complications / Q000473:pathology*; D012189:Retrospective Studies; D012907:Smoking / Q000009:adverse effects; D014565:Urogenital Neoplasms / Q000150:complications / Q000473:pathology* / Q000821:virology; D055815:Young Adult