SYRINGOMA
SYRINGOMA ICD-10: D23.L41
• Syringomas are benign adenomas of the eccrine ducts. They are 1- to 2-mm, skin- colored or yellow, firm papules that occur mostly in women, beginning at puberty; they may be familial.
• Most often multiple rather than solitary, they occur most frequently on the lower periorbital area, usually symmetrically but also on the eyelids (Fig. 9-42), face, axillae, umbilicus, upper chest, and vulva.
• The lesions have a specific histologic pattern: many small ducts in the dermis with comma-like tails with the appearance of “tadpoles.”
• The lesions can be disfiguring, and most patients want them removed; this can be done easily with electrosurgery.
FIGURE 9-42 • Syringomas Symmetric eruption of 1- to 2-mm skin-colored, smooth papules on the upper and lower eyelids.