Unusual location of apocrine hidrocystoma in children: Case series

Carmine Noviello; Mercedes Romano; Letizia Trotta; Roberto Alfano; Andrea Ronchi; Alfonso Papparella

doi:10.1016/j.ijscr.2023.108419

Unusual location of apocrine hidrocystoma in children: Case series

Int J Surg Case Rep. 2023 Jul:108:108419. doi: 10.1016/j.ijscr.2023.108419. Epub 2023 Jun 22.

Authors

Carmine Noviello¹, Mercedes Romano², Letizia Trotta³, Roberto Alfano⁴, Andrea Ronchi⁵, Alfonso Papparella⁶

Affiliations

¹ Pediatric Surgery Unit, Department of Woman, Child, General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy. Electronic address: carmine.noviello@unicampania.it.
² Pediatric Surgery Unit, Department of Woman, Child, General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy. Electronic address: mercedes.romano@libero.it.
³ Pediatric Surgery Unit, Department of Woman, Child, General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy. Electronic address: letizia.trotta1992@gmail.com.
⁴ Department of Advanced Medical and Surgical Sciences "DAMSS", University of Campania "Luigi Vanvitelli", Naples, Italy.
⁵ Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.
⁶ Pediatric Surgery Unit, Department of Woman, Child, General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy. Electronic address: alfonso.papparella@unicampania.it.

Abstract

Introduction and importance: Apocrine Hidrocystoma is a relatively rare benign tumour that begins from the apocrine sweat glands of the head and neck. The Authors present a case series of children with urogenital localization.

Cases presentation: Two boys (15 years and 9 years) presented with a small mass on the glans. Another 15-year-old boy presented with a cystic lesion in the right side of the scrotum where he had a previous surgery. The last case, a 17-year-old boy, presented because of a penile cyst of 8 mm. All four had surgical operations because of aesthetic discomfort or problems during micturition. Histological examination showed a diagnosis of apocrine hidrocystoma in all cases.

Clinical discussion: This benign tumour rarely affects the urogenital system in children, but when it happens the child can have discomfort and proper treatment is mandatory.

Conclusion: Surgery is the preferred treatment with a low risk of recurrence.

Keywords: Apocrine hidrocystoma; Children; Sweat gland.