Apocrine Hidrocystoma Treatment & Management

Updated: Nov 08, 2021
  • Author: Jesse M Olmedo, MD; Chief Editor: William D James, MD  more...
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Surgical Care

Apocrine hidrocystomas can be incised and drained; however, electrosurgical destruction of the cyst wall often is recommended to prevent recurrence. Punch, scissors, or elliptical excision also can remove tumors. Multiple apocrine hidrocystomas can be treated with carbon dioxide laser vaporization. [11] Trichloroacetic acid has also been used. [12] One report suggests that multiple or recurrent hidrocystomas may be amendable to botulinum toxin A injection, with improvement. [13]