Hidrocystoma

David E. Polzin, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Hidrocystomas, also known as cystadenomas or sudoriferous cysts, are rare, benign cystic growths of sweat glands (1).

  • Typically present as solitary nodules, but multiple hidrocystomas...

DIAGNOSIS

  • Diagnosis is often made clinically.

  • Definitive diagnosis is made by histopathologic examination.

HISTORY

  • Patient will present due to aesthetic concerns.

  • Lesions are asymptomatic.

PHYSICAL EXAM

  • Sin...

TREATMENT

Hidrocystomas are benign lesions, and treatment is for aesthetic purposes. Primary treatment for apocrine and eccrine hidrocystoma >1 cm is surgical excision (3)[A]. 
ALERT

Basal cell carci...

ONGOING CARE

PATIENT EDUCATION

Inform patient of the benign nature of this condition. 

PROGNOSIS

  • Prognosis is excellent, with and without treatment.

  • If lesions are surgically excised, there is a high cure...

REFERENCES

Sarabi K, Khachemoune A. Hidrocystomas—a brief review. MedGenMed.  2006;8(3):57.
Jakobiec FA, Zakka FR. A reappraisal of eyelid eccrine and apocrine hidrocystomas: microanatomic and i...

ADDITIONAL READING

  • Maeng M, Petrakos P, Zhou M, et al. Bi-institutional retrospective study on the demographics and basic clinical presentation of hidrocystomas. Orbit.  2017;36(6):433–435.

  • Vani D...

CODES

ICD10

  • D23.30 Other benign neoplasm of skin of unspecified part of face

  • D23.10 Oth benign neoplasm skin/ unsp eyelid, including canthus

  • D23.39 Other benign neoplasm of skin of other parts of face

  • D23...

CLINICAL PEARLS

  • Hidrocystomas rare, benign cystic growths of sweat glands

  • Diagnosis is made by clinical exam

  • Hidrocystomas can mimic basal cell carcinoma, so follow up or biopsy as indicated

  • Treatment is...

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