Eccrine Hidrocystoma Arising at the Tarsal Plate during Childhood

Abstract

A 2-year-old boy with an upper-eyelid tumor in his right eye underwent complete resection. Pathological examination showed that the tumor was composed of a thin wall, lined by a single cuboidal epithelium, and contained a transparent liquid. The epithelium of the tumor wall did not display decapitation and the tumor was diagnosed as eccrine hidrocystoma. After resection, obvious improvement of the tumor-caused blepharoptosis was observed and the visual acuity of the patient recovered.

Congenital giant orbital eccrine hidrocystoma

“…A thorough review of the reported cases showed a total of 10 cases of periocular eccrine hidrocystoma; only 5 were orbital in origin (Table 1). In addition to the present case, to the best of our knowledge, only two cases of congenital eccrine hidrocystoma have been reported so far 1 , 9 (Table 1). Malihi et al 1 operated on a 2-month-old boy with an orbital eccrine hidrocystoma presented with a bluish nodular non-tender subconjunctival swelling since birth.…”

“…A giant lesion has been previously reported in the superior part of the orbit causing inferior dystopia and posterior eyelid lamellar inversion 11 Table 1The reported cases of eccrine hidrocystoma.No.Author & YearAgea/GenderPresenting symptomsCyst sizeOriginRadiologic features Eyelid 1Feijó et al 16 73/FBilateral multiple tumors on both eyelids.NAAcquiredNA2Hirata 2013 9 2/MUpper eyelid tumor with no pain or inflammation. The lesion was in direct contact with the tarsal plate.…”

Multiple eccrine hydrocystoma masquerading as papular sarcoidosis in a patient suffering from systemic sarcoidosis

“…[ 3 ] Eccrine hydrocystomas usually occur in the middle age, from the 4 th decade to the 8 th decade; however, it has been rarely reported in the younger age group also. [ 4 5 ] Solitary eccrine hydrocystomas occur equally in males and females, while multiple eccrine hydrocystomas have a female preponderance. [ 3 ] In our case, a middle-aged male patient presented with multiple eccrine hydrocystoma.…”

“…Multiple eccrine hydrocystomas mainly affect the face and neck, largely confined to the cheeks and eyelids;[ 1 ] as seen in our case also. However, several uncommon locations have been reported, namely, eyelid,[ 2 ] tarsal plate,[ 5 ] upper lip,[ 6 ] external ear canal,[ 7 8 ] and the pericoccygeal region. [ 9 ]…”