LASER REMOVAL OF SYRINGOMAS
The removal of syringomas using a laser, under microscopic assistance, prevents skin depressions.
Progressive removal process of syringomas with laser.
Influence on Different Forms of Presentation
- Periorbital Syringomas: The most common form, typically appearing in women in their fourth to sixth decade of life. The lesions are grouped around the eyes. Aesthetic impact is usually the main concern.
- Eruptive Syringomas: Less common. They appear in large quantities and are distributed across the neck, chest, abdomen, underarms, and arms. They generally appear at puberty or in young adults.
- Generalized or Disseminated Syringomas: Similar to the eruptive form but with an even wider distribution on the body.
- Atypical / Unusual Syringomas: Includes forms located in non-periorbital areas, such as the vulva or unusual zones.
Syringomas with extension beyond the eyelids.
Theories on the origin of syringomas
- Expression of Hormonal Receptors: High incidence in women and during puberty suggests hormonal influence. Puberty, pregnancy, and the use of contraceptives can trigger or aggravate the lesions.
- Genetic Factors: Higher incidence in families and in certain conditions like Down syndrome, where the prevalence is significantly higher than in the general population.
- Inflammatory Damage: An underlying inflammatory process may trigger the proliferation of eccrine ducts, leading to the formation of syringomas.
- Metabolic Alterations: A possible relationship with connective tissue alterations has been suggested, especially in cases of eruptive syringomas.
What do studies and research say?
The discovery of molecular markers for syringomas would not only improve the understanding of their pathogenesis but could also aid in diagnosis and the development of specific therapies. Therefore, more research is needed in this area.
Experience highlights the importance of removing all lesions, even the smallest ones, to avoid a false sense of recurrence. This could be a critical aspect in the treatment of syringomas and could influence the choice of treatment techniques. Identifying lesions less than one millimeter in diameter as true syringomas is not possible; only follow-up will make a conclusion in this regard possible.
Clinical sequence of multiple sessions.
Detail of the eyelids before and after treatments.
In summary, what are syringomas?
They are benign tumors of the sweat glands.
Do syringomas keep appearing after laser treatment?
If the majority are removed, it is possible to achieve control to a satisfactory degree. However, as long as treatments are not performed with this intention and one thinks in terms of isolated sessions, it will not be possible to control them.
Why is laser preferable for removing syringomas?
Without using a laser, it is impossible to remove syringomas smaller than one millimeter in diameter. Simplifying the treatment to just removing lesions is only part of it. Treating early scarring complications, such as redness, fibrosis foci, and hypochromia, is the other fundamental part of the treatment. The laser (Er:YAG or CO2) allows for meticulous and unparalleled control.
Incision and closure. Results and long-term follow-up.
