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Excisional biopsy was performed and revealed a nodular and cystic dermal proliferation of predominately basaloid cells with focal duct formation, surrounded by prominent hyalinized stroma. The superficial portion of the mass was identified as a nodulocystic hidradenoma. Along the deep aspect and in association with the benign hidradenoma, sheets of markedly atypical epithelioid cells invaded the surrounding tissue, consistent with malignant transformation. Perineural and lymphovascular invasion were seen among areas with anaplastic features. This case supports that some hidradenocarcinoma originates from benign counterparts, and as such, ample sampling is required to definitively exclude a more sinister diagnosis. Diagnostic, prognostic, histopathological, and molecular characteristics, and current knowledge limitations are briefly discussed.<\/jats:p>","DOI":"10.1111\/cup.14686","type":"journal-article","created":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T07:49:05Z","timestamp":1721288945000},"page":"925-929","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A rare case of hidradenocarcinoma with anaplastic and invasive features arising from a nodulocystic hidradenoma"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4572-7372","authenticated-orcid":false,"given":"Myles R.","family":"McCrary","sequence":"first","affiliation":[{"name":"Anatomic and Clinical Pathology USF Health Morsani College of Medicine  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate E.","family":"Beekman","sequence":"additional","affiliation":[{"name":"USF Health Morsani College of Medicine  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Strosberg","sequence":"additional","affiliation":[{"name":"Anatomic and Clinical Pathology James A. 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