Cysts
Providing the most advanced Cyst Treatments
What are Cysts?
A
cyst is a harmless, sac-like growth in the deeper layers
of the skin. They form from the lining of a hair follicle
that gets blocked. It is not known why cysts appear, nor
why some persons get many of them.
Types of cyst include:
- Acne comedones (whiteheads)
- Acne cysts (large un inflamed acne
lumps)
- Dermoid cyst (a developmental inclusion
cyst)
- Milia (tiny surface white balls often
found on the cheeks after sun exposure or following
an injury). Milia can easily be squeezed out.
- Epidermal cysts (soft cheese-like
contents)
- Trichilemmal cysts (scalp cysts,
often multiple and familial, arising from hair root
sheath)
- Pilar cysts (firm white content)
- Steatocystoma multiplex (multiple
inherited cysts on trunk)
- Digital myxoid cyst (cyst at the
base of a nail)
- Labial mucous cyst (cyst in the lip)
- Apocrine hidrocystoma (clear jelly-like
cyst of eyelid)
- Bartholin's cyst (vulval swelling)
- Benign cysts may sometimes be confused
with skin cancers, especially a nodular or 'cystic'
basal cell carcinoma.
The epidermal cyst sac is filled with
a soft, whitish brown material that sometimes oozes out
onto the skin's surface. This material, which is keratinous
debris (dead skin cells), smells like rotten cheese.
Cysts are a nuisance, but they rarely
become cancerous or malignant. They can get inflamed if
the contents of the cyst rupture into the surrounding
skin. This makes them red and painful, and they may discharge
yellow pus. Occasionally bacteria enter the cyst and cause
an infection which resembles a boil. When this happens,
antibiotics such as flucloxacillin taken by mouth and
minor surgery may be needed to relieve the pressure and
pain.
Treatment for Cysts
If you have a cyst, ask your dermatologist's
or doctor's advice:
- Small cysts (eg. less than 5 mm)
don't usually need treatment, but can be readily removed
by a minor surgical procedure. Larger ones are usually
removed because they are unsightly or because they have
been inflamed.
- Cysts are treated by making a small
surgical opening into the skin and removing the sac
(excision biopsy). This is done under local anesthetic
and may require stitches, removed a few days later.
- Very occasionally the cyst recurs
and needs further treatment.
Schedule
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