Contents

SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferences

Information for Patients

View all Images (27)

Apocrine hidrocystoma - External and Internal Eye
Other Resources UpToDate PubMed

Apocrine hidrocystoma - External and Internal Eye

Contributors: Vivian Wong MD, PhD, Belinda Tan MD, PhD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Apocrine hidrocystomas, also known as sudoriferous cysts or Moll gland cysts, present as translucent or semitransparent, round, skin-colored or bluish masses containing a watery fluid. They most commonly occur along the eyelid margin, but may less commonly occur in the axillae or on the areolae, external ear, periumbilical or anogenital region, and rarely on the scalp and chest. They may be solitary or, less frequently, multiple. The cause is unknown, but they are thought to be due to blockage of the gland. They typically occur in patients over 60 years of age. Both sexes are equally affected.

The lesions are benign and usually asymptomatic. When multiple lesions are present, they may occur in association with Schöpf-Schulz-Passarge syndrome, an autosomal recessive syndrome characterized by multiple eyelid apocrine hidrocystomas, palmoplantar hyperkeratosis, hypodontia, and hypotrichosis.

Related topic: Eccrine hidrocystoma

Codes

ICD10CM:
D23.10 – Other benign neoplasm of skin of unspecified eyelid, including canthus

SNOMEDCT:
254725004 – Apocrine cystadenoma

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

  • Eccrine hidrocystoma – Tends to occur in multiples. They may vary in size with temperature variation.
  • Molluscum contagiosum
  • Epidermoid cyst (epithelial inclusion cysts)
  • Nodular basal cell carcinoma (firmer)
  • Blue nevus
  • Melanoma
  • Ductal cysts
  • Hordeolum and chalazion
  • Seborrheic keratosis
  • Congenital melanocytic nevus
  • Milia
  • Meibomian keratinous cysts (see Meibomitis)
  • Squamous papilloma
  • Dilated pore of Winer
  • Syringoma
  • Apocrine cystadenoma – Apocrine cystic lesions with true papillary projections histologically.

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Updated:04/06/2022
Copyright © 2024 VisualDx®. All rights reserved.
Patient Information for Apocrine hidrocystoma - External and Internal Eye
Print E-Mail Images (27)
Contributors: Medical staff writer
Premium Feature
VisualDx Patient Handouts
Available in the Elite package
  • Improve treatment compliance
  • Reduce after-hours questions
  • Increase patient engagement and satisfaction
  • Written in clear, easy-to-understand language. No confusing jargon.
  • Available in English and Spanish
  • Print out or email directly to your patient
Copyright © 2024 VisualDx®. All rights reserved.
Apocrine hidrocystoma - External and Internal Eye
A medical illustration showing key findings of Apocrine hidrocystoma : Eyelids
Clinical image of Apocrine hidrocystoma - imageId=194172. Click to open in gallery.  caption: 'Numerous small, translucent cystic papules on the upper and lower eyelid margins.'
Numerous small, translucent cystic papules on the upper and lower eyelid margins.
Copyright © 2024 VisualDx®. All rights reserved.