Giant Apocrine Hidrocystoma of the Anogenital Region: A Case Report

  • Rajeshwari Karibasappa Kumbar ASSISTANT PROFESSOR DEPARTMENT OF PATHOLOGY ACPM MEDICAL COLLEGE DHULE,
  • Akshay Surana ASSISTANT LECTURER DEPARTMENT OF PATHOLOGY ACPM MEDICAL COLLEGE DHULE,
  • Karibabappa Gundabakta Nagappa PROFESSOR DEPARTMENT OF PUBLIC HEALTH DENTISTRY ACPM DENTAL COLLEGE DHULE,
  • Nandkumar Vishwanath Dravid PROF AND HEAD DEPARTMENT OF PATHOLOGY ACPM MEDICAL COLLEGE DHULE,
Keywords: apocrine gland, hidrocystoma, adnexal neoplasm

Abstract

Hidrocystomas are rare, benign, cystic lesions of the sweat glands. They result from proliferation of the apocrine secretory coil or eccrine duct. Hidrocystomas are of two types, apocrine and eccrine depending on the origin of the cyst. These commonly occur over the head and neck region and their size ranges from few millimeters to a centimeter in diameter. The tumours more than two centimeters in diameter are called as giant apocrine hidrocystoma. The occurrence of such giant apocrine hidrocystoma over the anogenital region is rare and we found that there is paucity of literatures regarding the apocrine hidrocystoma having atypical presentation. The differential diagnosis of the cystic neoplasms often poses a diagnostic challenge in this site.Hence, we present the case of giant apocrine hidrocystoma in a 23-year-old male patient measuring 2.5x2.3 cm in size and located in the anogenital region. The excisional biopsy of the lesion was performed. Histopathologically, the lesion showed double-layered secretary epithelium of apocrine type. Here, we discuss a rare case of giant apocrine hidrocystoma over the anogenital region and highlight its histopathological features and its close differential diagnosis of cystic lesions over the anogenital region.

References

1. Kentaro K, Shuichi F, Harumi I, Yuji M, Fumio I, Kaoru K. Apocrine Hidrocystoma of the Lower Lip: A Case Report and Literature Review. Head and Neck Pathol 2014; 8:117–121.

2. Prabhu A, Prabhu M, Niranjan K, Grampurohit UV. Recurrent giant apocrine hidrocystoma of the eyelid: A case report. Egyptian Dermatology Online Journal 2014; 10;10.

3. Vani D, Dayananda T R, Shashidhar HB, Bharathi M, Hareesh R S Kumar, V Ravikumar. Multiple Apocrine Hidrocystomas: A Case Report. Journal of Clinical and Diagnostic Research 2013;7:171-72.

4. Choudhary S, Suba G, Ramesh BS, Shanmukan MB. Hydrocystoma of eyelid: a case report. Int. J. Curr. Res. Aca. Rev 2015;3:159-61.

5. Mehregan AH. Apocrine cystadenoma, a clinicopatholoical study with special reference to the pigmented variety. Arch Dermatol 1964;90: 274-79.

6. Rapini RP. Apocrine Hidrocystoma. http://www.emedicine.com/derm/ topic35.htm.

7. Vashi N, Mandal R. Giant multi-loculated apocrine hidrocystomas. Dermatol Online J 2010;16:16

8. Choudhary S, G Suba, BS Ramesh and MB Shanmukan. Hydrocystoma of eyelid: a case report. Int. J. Curr. Res. Aca. Rev. 2015; 3(3): 159-61.

9. Yi-Shan L, Jyh-Seng W, Tzong-Shiun L. A 25-year-old man with a dome-shaped translucent nodule on the glans penis. Dermatologica Sinica. 2010; 28:177–78.

10. Vishwapriya.M.G ,Darshan.P.M, Deshpande.S.A , Suvernekar.S.V. Syringocystadenoma Papilliferum-Case Report. IOSR Journal of Dental and Medical Sciences 2013; 5(1):43-6.
Published
2016-02-29
Section
Case Report