If the diagnosis is made clinically without biopsy, a cystic basal cell carcinoma of the eyelid may be missed. Incision to observe the egress of fluid or biopsy of suspicious lesions excludes the possibility. Avoid aggressive surgery of the eyelid for benign apocrine hidrocystomas. A simple excision with Gradle scissors suffices for most patients. Histology of apocrine hidrocystoma.
Cystic spaces appear empty because sweat is removed during processing.
Decapitation secretion often is seen in the lining. Multiple apocrine hidrocystomas of the eyelids. Differentiating between apocrine and eccrine hidrocystoma. Fitzpatrick's Dermatology in General Medicine. Tumors of skin appendages.