Hidrocystomas - A Brief Review

Khashayar Sarabi, BS, MSIV; Amor Khachemoune, MD, CWS

Disclosures

September 06, 2006

Management

The most common approach to the treatment of hidrocystomas (eccrine and apocrine) is simple needle puncture. However, in the Robinson type, a simple needle puncture will not produce lasting improvement. Multiple-type lesions have been successfully treated with topical 1% atropine or scopolamine creams, although anticholinergic side effects could cause patients to discontinue the treatment.[10] Excision of hidrocystomas can lead to scars, and treatment involving incisions and drainage can lead to recurrence after 6 weeks; this can be overcome by cauterization and electrodessication of the cyst wall.[1]

Gupta and colleagues[4] reported the use of electrodessication to be successful in the treatment of multiple apocrine tumors of less than 1 cm in diameter. Other methods that have shown success have been carbon dioxide laser vaporization and laser treatment.[4] Tanzi and colleagues[11] effectively treated a patient with pulsed-dye treatment with a 585-nm laser, and no recurrence was observed after 18 months of treatment. Finally, avoiding hot temperatures or humid conditions will help prevent worsening of symptoms in patients diagnosed with eccrine-type hidrocystomas.

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