Eccrine Hidrocystoma of the Central Chest and Dermoscopic Findings

Abstract

Eccrine hidrocystomas are benign, cystic tumors that are most commonly found on the central face in middle-aged females. Their dermoscopic findings are rarely described in the literature, with only seven cases currently reported to date. We present the case of an elderly man with an unusual location of an eccrine hidrocystoma of the central chest and its associated dermoscopic findings. Characterizing the dermoscopic features of eccrine hidrocystomas may allow for better differentiation of these lesions from cutaneous malignancies and may minimize unnecessary biopsies, treatment, and scarring.

Untitled

“…their physiopathology is still unknown and would be due to a dilation of the eccrine sweat glands canals [3], eccrine sweat glands are present throughout the body, which explains the possibility of eccrine hydrocystoma occurring in several areas of the body, unlike apocrine hydrocystoma, since the apocrine glands are confined in axilla, nipple, external ear, external genitalia and eyelids [4], they can be confused with basal cell carcinoma, syringomas and sebaceous cysts and in these cases the histology allows the diagnosis to be rectified. Some cases have been reported in the literature of hydrocystoma in the chest in a man of a 70-year-old chest [2], scalp [5] or vulva [6].…”

“…Dermoscopy is a non-invasive means which makes possible to evoke the diagnosis without resorting to a biopsy, dermoscopy of eccrine hydrocystoma is little described in the literature and includes a well-demarcated, homogenous, milky, cystic papule; bluish hue and pale halos surrounding bluish papules have also been dercriebed [2].…”

“…Eccrine hydrocystoma is a benign tumor that sits preferentially in the palpebral region in adult women, unlike apocrine hydrocystoma, their volume increases with effort and heat ,these are tumors that gradually increase in size while being asymptomatic they can be single or multiple flesh-colored or pigmented [1,2].…”