An Overview about Treatment Lines of Syringoma

Abstract

Syringomas are benign adenomas of eccrine or apocrine ducts. They often present as multiple 1–2-mm flesh-colored to yellow, firm papules. Although they can present anywhere, favored locations include the eyelids and face. Scalp involvement may produce a scarring alopecia. Syringomas develop during puberty and are more common in women than men. Familial and eruptive forms exist. Eruptive syringomas are more common in black males and often involve the chest or penis. The diagnosis of syringoma may be favored by the clinical presentation, but histological evaluation is necessary for definitive diagnosis. Syringomas are benign lesions with no true proliferative capacity. Treatment for these potentially disfiguring lesions is often done for cosmetic purposes. Single lesions may be surgically excised. Patients presenting with the eruptive form may be treated with laser ablation. Electrodesiccation with curettage is also useful for the treatment of multiple lesions. Cosmetic concern is the primary reason patients seek treatment for syringomas, although some patients with a large number of lesions may complain of itching, especially after sweating. Various modalities have been used in treating syringomas with variable result.