Spiradenoma Treatment & Management

Updated: Dec 16, 2019
  • Author: Nikki A Levin, MD, PhD; Chief Editor: Dirk M Elston, MD  more...
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Treatment

Approach Considerations

Treatment of spiradenomas is surgical.

Malignant spiradenomas may be treated with surgery, radiation, hyperthermic limb perfusion chemotherapy, and chemotherapy. They may also be sensitive to tamoxifen therapy. [47, 48]

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Surgical Care

The mainstay of treatment of spiradenomas and malignant spiradenomas is surgical removal. The lesions do not tend to recur after surgery. Mohs micrographic surgery has been used on the anterior neck to surgically remove infiltrative persistent spiradenoma. [49]

Multiple spiradenomas, such as those found in Brooke-Spiegler syndrome, have been treated with a high-energy continuous wave carbon dioxide laser after debulking with bipolar scissors in one patient. [50, 51]

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Consultations

Patients with malignant spiradenoma should see a surgeon, an oncologist, and possibly a radiation oncologist.

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Activity

Sometimes, pain can bother patients, but this pain should not affect their activities.

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Prevention

Complete excision of lesions should be performed to prevent recurrence.

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Long-Term Monitoring

Surgery is usually curative; therefore, further care is not needed. Patients with malignant spiradenomas need to follow up with oncologists and radiation oncologists.

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