Abstract
Malignant sweat gland tumors are very rare. Hidradenocarcinoma is an uncommon malignancy arising from the intradermal ductal epithelium of eccrine sweat glands, usually in the sun-exposed parts of the body. It usually arises de novo but may develop from a benign hidradenoma. The diagnosis of hidradenocarcinoma is clinically challenging as it presents with varied consistency and clinically mimics other skin lesions such as chronic sebaceous cysts or epidermoid cysts. Hidradenocarcinoma is a highly aggressive tumor with a tendency for regional and distant spread. It is difficult to treat hidradenocarcinoma as it has high rates of morbidity and mortality and a very high incidence of recurrence. Here, we report a rare case of a 45-year-old woman who presented with a recurrent lump over the left arm diagnosed as primary hidradenocarcinoma.