Multiple hidrocystoma of the face: three cases
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View abstract on PubMed
Summary
This summary is machine-generated.Multiple facial hidrocystomas (Robinson type) are uncommon apocrine cysts. This study suggests their secretory nature is obscured by cyst pressure, identifiable only through serial sectioning.
Area Of Science
- Dermatology
- Histopathology
Background
- Multiple hidrocystomas of the face (Robinson type) represent an uncommon variant of hidrocystoma.
- These lesions predominantly affect middle-aged women and can worsen with heat exposure.
Observation
- The exact origin (eccrine or apocrine) of these facial hidrocystomas has been debated since their initial description in 1893.
- Previous immunohistochemical and enzyme histochemical studies have been inconclusive in differentiating between eccrine and apocrine origins.
Findings
- This study reports on three patients diagnosed with this rare facial hidrocystoma variant.
- The authors propose that these are apocrine hidrocystomas where the typical 'decapitation' secretion is effaced by intraluminal pressure.
- Apocrine secretion may be identified in limited areas of the cyst lining upon serial sectioning.
Implications
- Clarifies the histogenesis of multiple facial hidrocystomas, suggesting an apocrine origin.
- Highlights the diagnostic challenge posed by effaced secretory features in cystic lesions.
- Emphasizes the importance of meticulous serial sectioning in histopathological diagnosis of challenging cases.
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