Degeneration of Verneuil Disease into Squamous Cell Carcinoma: About 4 Cases

Abstract

Hidrosadenitis suppurativa, or Verneuil's disease, is quite common, especially in men in our context, but is often unrecognized. Degeneration of Verneuil's disease into squamous cell carcinoma remains the most dreaded complication. Clinical manifestations include painful and inflammatory nodular lesions evolving chronically towards suppuration and fistulization in areas bearing apocrine glands. The most frequent localization in our context was in the gluteal and/or intergluteal area, and the diagnostic method remains biopsy. Treatment is multidisciplinary, both medical and surgical: above all, wide and appropriate excisions. Depending on the extent of malignancy, oncology is often called in. Preventive surgical excision remains the best preventive treatment, with rigorous long-term monitoring to avoid any fatal evolution.