Hair follicle anatomy
Hair follicle anatomy

Sebaceous cyst

Definition:
A closed sac found just under the skin containing "pasty" or "cheesy" looking skin secretions.

Alternative Names:
Epidermal cyst; Keratin cyst; Epidermoid cyst

Causes, incidence, and risk factors:

Sebaceous cysts most often arise from swollen hair follicles. Skin trauma can also induce a cyst to form. A sac of cells is created into which a protein called keratin is secreted.

These cysts are usually found on the face, neck, and trunk. They are usually slow- growing, painless, freely movable lumps beneath the skin. Occasionally, however, a cyst will become inflamed and tender.

Symptoms:
  • usually a nontender, small lump beneath the skin
  • redness, tenderness, or increased temperature of the skin over the area may occur infection
  • grayish white, cheesy, foul smelling material may drain from the cyst
Signs and tests:

In most cases, your physician can diagnose a cyst based on its appearance. Occasionally, a biopsy may be needed to rule out other conditions with a similar appearance.

Treatment:

Sebaceous cysts are not dangerous and can usually be ignored. At times, they may become inflamed and tender. Others may grow large and interfere with day-to-day life. In these cases, you can have them surgically removed in a physician's office. Alternatively, small inflamed cysts can be treated by injection of steroid medications.

Expectations (prognosis):
Most cysts may be ignored or treated with simple surgery.
Complications:
These cysts may occasionally become infected and form into painful abscesses. Recurrence after excision is also not unusual.
Calling your health care provider:
Call your health care provider if you notice any new growths on your body. Though cysts are not dangerous, your doctor should examine you to ensure that skin cancer is not present.

Review Date: 11/10/2001
Reviewed By: Michael Lehrer, M.D., Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
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