10.5826/dpc.1202a90
text/xml
2160-9381
2017
en
Álvaro Abarzúa-Araya
https://creativecommons.org/licenses/by-nc/4.0
Dermatology Practical & Conceptual
Dermoscopy as an aid in the differentiation of recurrent eyelid basal cell carcinoma versus apocrine hidrocystoma.
Text.Serial.Journal
https://dpcj.org/index.php/dpc
Image Letter
2022-05-02
2021-09-08
2022-05-02
2022-05-24
e2022090
Dermatol Pract Concept
Álvaro Abarzúa-Araya
2022/05/02
10.5826/dpc.1202a90
e2022090
Department of Dermatology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Melanoma and Skin Cancer Unit, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
2160-9381
en
e2022090
Dermoscopy as an aid in the differentiation of recurrent eyelid basal cell carcinoma versus apocrine hidrocystoma.
https://dpcj.org/index.php/dpc/article/download/2017/1583
                    Dermatology Practical & Conceptual


       Dermoscopy as an Aid in the Differentiation of
        Recurrent Eyelid Basal Cell Carcinoma Versus
                  apocrine Hidrocystoma
Leonel Hidalgo1, Eugenia Abusleme2, Cristián Navarrete-Dechent1,3, Álvaro Abarzúa-Araya1,3


1 Department of Dermatology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
2 Department of Ophthalmology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
3.Melanoma and Skin Cancer Unit, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile



Citation: Hidalgo L, Abusleme E, Navarrete-Dechent C, Abarzúa-Araya A. Dermoscopy as an aid in the differentiation of recurrent
eyelid basal cell carcinoma versus apocrine hidrocystoma. Dermatol Pract Concept. 2022;12(2):e2022090. DOI: https://doi.org/10.5826/
dpc.1202a90
Accepted: October 12, 2021; Published: April 2022
Copyright: ©2022 Hidalgo et al. This is an open-access article distributed under the terms of the Creative Commons Attribution-
NonCommercial License (BY-NC-4.0), https://creativecommons.org/licenses/by-nc/4.0/, which permits unrestricted noncommercial use,
distribution, and reproduction in any medium, provided the original authors and source are credited.
Funding: None.
Competing interests: None.
Authorship: All authors have contributed significantly to this publication.
Corresponding author: Álvaro Abarzúa-Araya, MD, IFAAD, Department of Dermatology, Escuela de Medicina, Pontificia Universidad
Católica de Chile, Diagonal Paraguay 362, 6th floor, Santiago, Chile 8330077. E-mail: alvaroabarzuaaraya@gmail.com




Case presentation                                                        When arising in or around scars of patients with previ-
                                                                         ous BCC, diagnosis becomes challenging. Dermoscopy
An 80-year-old man was referred for a new eyelid papule in               might be a helpful tool. Our patient prior BCC showed
proximity of a scar from a previously excised basal cell car-            eyelash   destruction, in-focus      arborizing   telangiecta-
cinoma (BCC) (Figure 1). Based on naked-eye examination,                 sias and blotches and strands on dermoscopy (Figure 1,
                                                                              2


recurrent BCC was suspected, and surgery was performed.                  A and B) [2]. AH, on the other hand, was clinically simi-
The histopathological features were consistent with apocrine             lar but on dermoscopy it had translucent homogenous ar-
hidrocystoma (AH).                                                       eas, linear whitish structures, and no eyelash involvement,
                                                                         as previously reported in literature (Figure 1, B-F) [1,2].
                                                                         Dermoscopy might help differentiate recurrent BCC from
Teaching point
                                                                         other adnexal tumors, potentially avoiding unnecessary
AH is a benign cystic lesion of the apocrine glands usually              procedures.
found on the head and neck, particularly periocular [1].




Image Letter | Dermatol Pract Concept. 2022;12(2):e2022090                                                                             1
Figure 1. A 80-year-old man referred for a new eyelid papule in proximity of a scar from a previously excised basal cell carcinoma. (A) Pearly
papule with eyelash destruction. Histopathology confirmed a basal cell carcinoma. (B) Dermoscopy showing eyelash destruction, in-focus
arborising telangiectasias, and blotches and strands (polarized dermoscopy, x10). (C) Homogeneous skin colored papule near previous scar.
Histopathology confirmed an apocrine hidrocystoma. (D) Dermoscopy showing no eyelash involvement and linear whitish structures (po-
larized dermoscopy, x10). (E) Dermoscopy showing translucent homogenous area and no eyelash involvement (non-polarized dermoscopy,
x10). (F) Surgery of the new eyelid papule. Histopathology confirmed an apocrine hidrocystoma.




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    study. J Eur Acad Dermatol Venereol. 2014;28(3):378-381. DOI:            175. DOI: 10.1016/j.jaad.2020.04.059. PMID: 32330634. PM-
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