By Gary M. White, MD
The syringoma is a benign adnexal tumor of the eccrine sweat duct that most commonly occurs below the eyes. It may, however, occur as disseminated lesions or in other locations, e.g., penis or vulva.
- Down syndrome patients are more likely to be affected.
- Familial cases occur.
- Histologically, one sees comma-shaped, dilated, cystic eccrine ducts.
Multiple flesh-colored papules on the lower eyelids and upper cheek are characteristic. They may also be distributed diffusely on the face, diffusely on the body, or present as a solitary lesion. Unilateral, multiple, and plaque-like syringomas have been described [BJD 1996;135;623].
No treatment is usually necessary. The scarring from treatment may be worse than the appearance of the lesions. Electrosurgery and the CO2 laser have been used. Some have recommended that with a hot wire tip, just touch the lesion, followed by a curette.
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