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C.L. McCloskey, A.D. Singh, M.A. Parsons; Eccrine Hydrocystoma of the Eyelid . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2440.
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Purpose: To report on the clinical features of eccrine hydrocystoma involving the eyelid. Methods: Retrospective case series of 34 patients with histopathologically confirmed eccrine hydrocystoma. The data regarding clinical presentation, clinical photographs, and histopathologic findings were reviewed in all cases. Results: Among 1000 consecutive patients who had undergone eyelid biopsy, 69 tumors in 34 patients (3%) were identified. The median age at diagnosis was 57 years (range 39-91 years). The tumors were unilateral in 30 patients and bilateral in 4 patients. The majority (71%) of patients manifested only a single tumor. The tumors appeared as a small (median size = 1 mm) clear cystic lesion with 87% located near the eyelid margin. Conclusions: The eccrine hydrocystoma is an uncommon, benign small cystic tumor which characteristically occurs close to but does not involve the eyelid margin.
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