Gupta S, Handa U, Handa S, Mohan H
Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Government Medical College, Chandigarh-160 012, India.
Dermatol Surg. 2001 Apr;27(4):382-4. doi: 10.1046/j.1524-4725.2001.00210.x.
Apocrine hidrocystomas are adenomatous cystic proliferations of the apocrine glands. They typically occur as solitary lesions, though rarely may occur as multiple lesions. Management of multiple hidrocystomas can be difficult, particularly if they are large. Surgical modalities may be required for effective therapy.
To compare the results of electrosurgery and excision in treating multiple apocrine hidrocystomas.
A 50-year-old man presented with multiple apocrine hidrocystomas ranging in size from 1 to 12 mm. The lesions were located over the periorbital skin, cheeks, and pinnae. Excision and electrodessication were utilized for therapy. At a 1-year follow-up, the patient was evaluated for recurrences and cosmetic result.
There were no recurrences until 1 year after surgery. In the areas treated with electrodessication, no visible scars were identified. In the areas treated with excision, localized scars were observed.
Both electrodessiation and excision are effective therapies for multiple apocrine hidrocystomas. We suggest that tumors less than 1 cm be treated with electrodessication and lesions greater than 1 cm with excision.
顶泌汗腺囊瘤是顶泌汗腺的腺瘤样囊性增生。它们通常表现为单个病灶，不过极少情况下也可能为多个病灶。多个汗腺囊瘤的治疗可能较为困难，尤其是当它们体积较大时。有效治疗可能需要手术方式。
比较电外科手术和切除术治疗多个顶泌汗腺囊瘤的效果。
一名50岁男性患有多个大小从1毫米至12毫米不等的顶泌汗腺囊瘤。病灶位于眶周皮肤、脸颊和耳廓。采用切除术和电干燥法进行治疗。在1年随访时，对患者进行复发情况及美容效果评估。
术后1年内无复发。在采用电干燥法治疗的区域，未发现可见瘢痕。在采用切除术治疗的区域，观察到局部瘢痕。
电干燥法和切除术都是治疗多个顶泌汗腺囊瘤的有效方法。我们建议，小于1厘米的肿瘤采用电干燥法治疗，大于1厘米的病灶采用切除术治疗。
