Case Number : Case 589 - 11 Sept Posted By: Guest

Apocrine cystadenoma, Syringocystadenoma papilliferum like...

It seems a papillary hidradenoma, though it usually appears in vulva...

apocrine cystadenoma

Favour syringocystadenoma papilliferum. Just wondered, would there be any management implication if this is an apocrine cystadenoma?

Apocrine papillary cystadenoma,,, marvellous

[color="#000000"]Bluish hue – site – dermal cyst- question to be answered, is it [/color][color=#231F20]apocrine hidrocystoma, apocrine cystadenoma or [/color][color="#000000"]eccrine hidrocystoma? Because there is t[/color][color=#231F20]rue papillary projections (containing a fibrous core) this is [b]apocrine cystadenoma [/b](in apocrine hidrocystoma, the papillary projections are solid buds of secretory cells). Eccrine hidrocystoma often lies in [/color][color="#000000"]often in close proximity to eccrine glands with no evidence of decapitation secretion [/color][color=#231F20]n the cells of the[/color] [color=#231F20]inner layer.[/color]

Corrigenda
*there are
*secretion in

[color="#000000"]Bluish hue – site – dermal cyst- question to be answered, is it [/color][color=#231F20]apocrine hidrocystoma, apocrine cystadenoma or [/color][color="#000000"]eccrine hidrocystoma? Because there are t[/color][color=#231F20]rue papillary projections (containing a fibrous core) this is [b]apocrine cystadenoma [/b](in apocrine hidrocystoma, the papillary projections are solid buds of secretory cells). Eccrine hidrocystoma often lies [/color][color="#000000"]in close proximity to eccrine glands with no evidence of decapitation secretion i[/color][color=#231F20]n the cells of the[/color] [color=#231F20]inner layer.[/color]

Apocrine papillary cystadenoma

I don't suppose that it matters too much which label you apply! From my perspective, it is best regarded as an apocrine papillary cystadenoma. I agree that on the vulva you would call it a hidradenoma papilliferum. The fibrovascular cores seen in Figs 3 and 4 confirm that they are true papillae. Sometimes there may be an association with mevus sebaceus. Obviously, if this were part of the latter, there would be potential treatment implications because of cosmetic reasons and the inevitable development of other tumors including albeit rarely, carcinoma.

Apocrine papillary cystadenoma