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INTRODUCTION Although various treatment options for hidrocystomas have been described, the comparative efficacy of these treatments is poorly understood. METHODS We conducted a systematic review of all articles describing the treatment of hidrocystomas. Treatment modalities were categorized as destructive surgical procedures, skin-directed therapies, systemic medical therapies, general measures, or combined. Patient and tumor characteristics, as well as response rate, recurrence rate, and adverse effects, were extracted from each articl