Bilobed flap technique as alternative for patient with eccrine spiradenoma: A rare case report

• Published in: International journal of surgery case reports 2023-08, Vol.109, p.108549, Article 108549
• Main Authors: Putra, Muhammad David Perdana, Putra, Gumilar Fardhani Ami, Soewoto, Widyanti, Yarso, Kristanto Yuli, Aktama, Galih, Sarasati, Shinta Andi
• Format: Article
• Language: English
• Subjects: Adnexal tumor; Bilobed flap; Case Report; Eccrine spiradenoma; Facial
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2023.108549

Eccrine spiradenoma (ES) is a rare benign skin adnexal tumor. ES resembles many other dermal lesions and is commonly found at the face. Hence, proper diagnosis and treatment with aesthetic considerations are needed. Here we reported a case of a 47 years old male who came with a mole-like mass on the lower side of the left eye socket. The histopathological examination showed small basaloid cells surrounding the larger, paler epithelial cells, a characteristic feature of spiradenoma. The surgery was then performed using bilobed flap technique, considering that the pathological mass was oval-shaped. Bilobed flap technique preserves skin color and texture, providing excellent tissue match and minimizes donor site complication. This technique distributes skin tension along a wider, curved area of the site. Bilobed flap technique can be used in round or oval-shaped facial tumor such as ES. •Eccrine spiradenoma is a benign adnexal tumor commonly occurring in the facial region.•Eccrine spiradenoma resembles many other dermal lesions, requiring biopsy for proper identification.•The cosmetic aspect is important in the management of eccrine spiradenoma.•The bilobed flap technique is a surgical management method with good cosmetic results and minimal complication, showing good potential for eccrine spiradenoma treatment.