Apocrine hidrocystoma

Apocrine Hidrocystoma is a benign cystic lesion of the skin, originating from the apocrine sweat glands. It is also known as a Sudoriferous Cyst, Moll's Gland Cyst, or Cystadenoma.

Etiology

The exact cause of Apocrine Hidrocystoma is unknown. However, it is believed to be related to the blockage of the sweat gland ducts. This blockage leads to the accumulation of sweat in the gland, resulting in the formation of a cyst.

Clinical Presentation

Apocrine Hidrocystomas typically present as small, solitary, dome-shaped, bluish or skin-colored nodules. They are usually less than 1 cm in diameter and are most commonly found on the face, particularly around the eyelids. The lesions are generally asymptomatic, but they may cause cosmetic concern due to their appearance.

Diagnosis

The diagnosis of Apocrine Hidrocystoma is primarily based on the clinical presentation and histopathological examination. Dermoscopy and skin biopsy may be used to confirm the diagnosis. Histopathological features include a cystic lesion lined by a double layer of columnar and cuboidal cells, with decapitation secretion characteristic of apocrine glands.

Treatment

The primary treatment for Apocrine Hidrocystoma is surgical excision. Other treatment options include cryotherapy, electrodesiccation, and laser therapy. However, these methods may be associated with a higher risk of recurrence compared to surgical excision.

Prognosis

The prognosis for Apocrine Hidrocystoma is generally excellent. The lesions are benign and do not pose a risk for malignancy. However, they may recur if not completely excised.

See Also

• Eccrine hidrocystoma
• Sweat gland
• Cyst
• Dermoscopy
• Skin biopsy