Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current Issue
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
Images in Dermatology
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters in Response to Previous Publication
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Media and news
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Images
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Reviewers 2022
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Snippets
Special Article
Specialty Interface
Studies
Study Letter
Study Letters
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Systematic Review and Meta-Analysis
Systematic Reviews and Meta-analyses
Systematic Reviews and Meta-analysis
Tables
Technology
Therapeutic Guideline-IADVL
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
Therapy Letters
View Point
Viewpoint
What’s new in Dermatology
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current Issue
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
Images in Dermatology
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters in Response to Previous Publication
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Media and news
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Images
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Reviewers 2022
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Snippets
Special Article
Specialty Interface
Studies
Study Letter
Study Letters
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Systematic Review and Meta-Analysis
Systematic Reviews and Meta-analyses
Systematic Reviews and Meta-analysis
Tables
Technology
Therapeutic Guideline-IADVL
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
Therapy Letters
View Point
Viewpoint
What’s new in Dermatology

Translate this page into:

Case Report
2001:67:2;89-90
PMID: 17664718

Multiple apocrine hidrocystomas

RG Torsekar, V Vishalakshi
 Department of Dermatology, CSM Hospital & Rajiv Gandhi Medical College, Kalwa, Thane, Maharashtra, India

Correspondence Address:
V Vishalakshi
18, Sri Valli, Rifle Range, Ghatkoper (W), Mumbai-400086
India
How to cite this article:
Torsekar R G, Vishalakshi V. Multiple apocrine hidrocystomas. Indian J Dermatol Venereol Leprol 2001;67:89-90
Copyright: (C)2001 Indian Journal of Dermatology, Venereology, and Leprology

Abstract

Appendageal tumours localized to the head, face and neck region continue to fascinate and confuse the dermatologists. We report a case of multiple apocrine hidrocystomas on the face of a 35 year-old woman. Good cosmetic result was obtained with excision followed by cauterization.
Keywords: Apocrine hidrocystoma

Introduction

Appendageal tumours commonly present on the face and scalp, majority of them being rela-tively benign and are diagnosed only on pathologi-cal examination. We report a case of multiple apocrine hidrocystomas in a 35- year - old woman.

Case Report

A 35- year- old woman presented with asymptomatic lesions on the face since-3 years. The patient had not received any treatment and denied history of any topical application. No sea-sonal exacerbation or remissions were noted.

Clinically, multiple discrete yellowish dome shaped translucent nodules were seen on the forehead, cheeks and chin varying in size from 2mm to 15mm, surface being smooth. No lesions were seen elsewhere. A diagnosis of multiple steatocystoma or? appendageal tumour was considered.

Biopsy of a lesion revealed a normal epider-mis and the dermis showed a large cystic space with papillary projections. There was no connec-tion between the epidermis and the cyst. The cyst wall and papillary projections were lined by a row of secretory cells with decapitation secretion suggesting apocrine origin. [Figure - 1]. A diagnosis of apocrine hidrocystoma was made. Electrofulguration of the remaining lesions was done with a good cosmetic result.

Discussion

Apocrine hidrocystomas or cystadenomas are benign cystic neoplasms of apocrine origin. Clini-cally the lesions are characterised by solitary, skin coloured translucent nodular lesions with a bluish hue.[1] These are commonly located on the face. Multiple apocrine hidrocystomas are rarely encoun-tered.[2] A clinical differential diagnosis includes pigmented nevus, melanoma, blue nevus or a cystic basal cell carcinoma.

A diagnosis of apocrine hidrocystoma solely on clinical findings is difficult and clinico- pathologi-cal correlation is needed. Histologically a cystic space in the dermis into which papillary projections ex-tend is characteristic and the cyst has no connec-tion with the overlying epidermis.[3] Lining of the cyst is by secretory cells of apocrine nature as illustrated in our case. In syringocystadenoma papilliferum, the lining of cystic invagination is simi-lar, but they extend downwards from the epider-mis. Eccrine hidrocystomas differ from apocrine by absence of decapitation secretion, of PAS positive granules and of myoepithelial cells. Also cysts of eccrine origin are unilocular and of apocrine origin tend to be multilocular.

Appendageal tumours on the face pose a cosmetic problem and a therapeutic challenge. A final diagnosis is possible only on histopathology as illustrated by our case. Also, gratifying results were obtained in our patient by electrofulguration.

References
1.
Arnold HL, Odoms RB, James WD. Epidermal naevi, neoplasms and cysts. In: Arnold HL, Odoms RB, James WD, eds. Andrews Diseases of the Skin, 8th edition, Philadelphia: WB Saunders. 1990:779.
[Google Scholar]
2.
Kruse TV, Khan MA, Hassan MO. Multiple apocrine cystadenomas. Br J Dermatol 1979;100:675.
[Google Scholar]
3.
Lever WF, Schaumburg Lever G. Tumours of the epidermal appendages In: Histopathology of Skin, 7th edition, Philadelphia, JB Lippincott, 1990 : 599.
[Google Scholar]
Show Sections