Epidermal Cyst
Condition
(Epidermoid Cyst; Epidermal Inclusion Cyst; Epithelial Cyst; Keratin Cyst)
Definition
An epidermal cyst is a lump under the skin. It has soft, yellow matter inside. They often happen on the face, neck, chest, upper back, genitals, or behind the ears.
Causes
It may be caused by:
- Blockage of a hair follicle by skin cells—due to a skin injury
- Damage to a hair follicle due to acne
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Risk Factors
Acne and skin injuries raise the risk of this type of cyst.
Symptoms
Problems may be:
- A small, dome-shaped lump beneath the skin
- Foul-smelling, cheese-like material that may drain from the cyst
- Redness or pain on or around the cyst
Diagnosis
The doctor will ask about symptoms and past health. A physical exam will be done. This is often enough to make the diagnosis. Some people are sent to a skin doctor.
Treatment
The cyst may go away on its own. It may need to be treated when it causes problems. This can be done with:
- Surgery to remove the entire cyst
- Incision and drainage—to remove the cyst contents, though it may return in time
Antibiotics may be given to treat infection.
Prevention
There is no way to prevent an epidermal cyst.
American Academy of Dermatology
Family Doctor–American Academy of Family Physicians
CANADIAN RESOURCES:
Canadian Dermatology Association
Health Canada
American Academy of Dermatology
Family Doctor–American Academy of Family Physicians
CANADIAN RESOURCES:
Canadian Dermatology Association
Health Canada
References
- Common benign skin lesions. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/common-benign-skin-lesions. Accessed May 25, 2022.
- Cutaneous cysts and pseudocysts. DermNet NZ website. Available at: https://dermnetnz.org/topics/cutaneous-cysts-and-pseudocysts. Accessed May 25, 2022.
- Moreno-Ramírez D, Ruiz-Villaverde R, et al. A. process of care for patients with benign cysts and tumors: Consensus document of the Andalusian Regional Section of the Spanish Academy of Dermatology and Venereology (AEDV). Actas Dermosifiliogr. 2016 ;107(5):391-399.
Contributors
- April Scott, NP
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