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Hidrocystoma

Nisarg Joshi, BS, MD and David Anderson, PharmD, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

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

  • Typically present as solitary nodules, but multip...

DIAGNOSIS

  • Unlike competing diagnoses, these cysts transilluminate.

  • Diagnosis often made clinically

  • Definitive diagnosis is made by histopathologic examination.

HISTORY

  • Patients complain of a painless, sof...

TREATMENT

  • Hidrocystomas are benign lesions and treatment is for aesthetic purposes or if the lesion becomes irritating to the patient.

  • Lesions can be incised and drained (i.e., needle puncture with 30 ...

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 fully excised, there is a hig...

REFERENCES

1
Sarabi  K, Khachemoune  A. Hidrocystomas—a brief review. MedGenMed.  2006; 8(3): 57.
2
Jakobiec  FA, Zakka  FR. A r...

ADDITIONAL READING

  • Maeng  M, Petrakos  P, Zhou  M, et al. Bi-institutional retrospective study on the demographics and basic clinical presentation of hidrocystomas. Orbit. ...

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 are benign cystic growths of sweat glands.

  • Diagnosis is typically made by clinical exam.

  • Hidrocystomas can mimic melanoma and basal cell carcinoma, so follow up or biopsy a...

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