Maeng Michelle, Petrakos Paul, Zhou Mei, Levine Benjamin, Lelli Gary, Setabutr Pete
a Illinois Eye and Ear Infirmary , Chicago , Illinois , USA.
b Department of Ophthalmology , Weill Cornell Medical Center , New York , New York , USA.
Orbit. 2017 Dec;36(6):433-435. doi: 10.1080/01676830.2017.1337184. Epub 2017 Jul 19.
Hidrocystomas are benign, cystic lesions of eccrine and apocrine sweat glands. The literature on hidrocystomas is sparse, consisting of a handful of case reports and limited retrospective reviews. This is the first known bi-institutional, retrospective, chart review aimed to elucidate the demographics and basic clinical presentation of hidrocystomas. Medical records of adult patients with a pathological diagnosis of hidrocystoma from September 1, 2008 to August 1, 2015 in the Oculoplastic and Reconstructive Surgery Service at the Illinois Eye and Ear Infirmary (UIC) and Department of Ophthalmology of Weill Cornell Medical College (Cornell) were reviewed. Children under the age of 18 were not included. Data collection included: gender, race, age at diagnosis, laterality, location, total number of lesions, and recurrence. Results from both institutions were compared against each other and as a whole. A total of 107 patients were diagnosed with hidrocystoma on pathology. The mean age of diagnosis was 56 years (22-85). Hidrocystomas were diagnosed in 69 (64.4%) females and 38 (35.5%) males. Lesions were most commonly found in African American (37.4%), Caucasian (30.8%), and Hispanic (16.8%) patients combined across the two institutions with different patient populations. Lesions were largely unilateral (74.8%) and found on the lower lid (38.6%), lateral canthus (31.2%), upper lid (17.7%), and medial canthus (12.6%). Recurrences were seen in 2.3% of lesions. The majority of recurrences occurred in patients who identified their race as Hispanic (2/5) and Caucasian (3/5). Recurrences were seen in 2 males and 3 females. Apocrine and ecccrine hidrocystomas may be more common in female, African American, Caucasian, and Hispanic patients, presenting most commonly in adults in their mid-fifties. Lesions tend to be unilateral with lower lid lesions being the most prevalent location and medial canthus lesions being the least prevalent location for lesion growth. Recurrences may be most common in Hispanics and Caucasians and less common in African Americans. Although a precise recurrence rate cannot be determined at this time, our data suggests that the recurrence rate is low with current excisional methods.
汗腺囊瘤是一种源于小汗腺和大汗腺的良性囊性病变。关于汗腺囊瘤的文献资料稀少，仅有少数病例报告和有限的回顾性研究。这是首次已知的双机构回顾性病历审查，旨在阐明汗腺囊瘤的人口统计学特征和基本临床表现。对伊利诺伊眼耳医院（伊利诺伊大学芝加哥分校）眼整形与重建外科以及威尔康乃尔医学院眼科从2008年9月1日至2015年8月1日期间病理诊断为汗腺囊瘤的成年患者的病历进行了审查。不包括18岁以下的儿童。数据收集包括：性别、种族、诊断时年龄、病变侧别、位置、病变总数以及复发情况。对两个机构的结果进行了相互比较以及整体比较。共有107例患者经病理诊断为汗腺囊瘤。诊断时的平均年龄为56岁（22 - 85岁）。在69名（64.4%）女性和38名（35.5%）男性中诊断出汗腺囊瘤。在两个机构不同患者群体中，病变最常见于非裔美国人（37.4%）、白种人（30.8%）和西班牙裔（16.8%）患者。病变大多为单侧（74.8%），常见于下睑（38.6%）、外眦（31.2%）、上睑（17.7%）和内眦（12.6%）。2.3%的病变出现复发。大多数复发发生在自认为是西班牙裔（2/5）和白种人（3/5）的患者中。在2名男性和3名女性中出现复发。大汗腺和小汗腺囊瘤在女性、非裔美国人、白种人和西班牙裔患者中可能更为常见，最常见于五十多岁的成年人。病变往往为单侧，下睑病变是最常见的生长部位，内眦病变是最不常见的生长部位。复发在西班牙裔和白种人中可能最为常见，在非裔美国人中较少见。尽管目前尚无法确定确切的复发率，但我们的数据表明，采用当前的切除方法复发率较低。
