Sebaceous Cyst Treatment

Sebaceous Cyst

Answer. A sebaceous cyst is also called an epidermoid cyst.

• This occurs due to obstruction of sebaceous ducts, resulting in the accumulation of sebaceous material.
• The sebaceous material becomes enlarged due to the retention of its sebum. So it is also called a retention cyst.
• The cyst is lined by squamous epithelium material with an unpleasant smell.

Sebaceous Cyst Drainage

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• In the center of the cyst a black spot is found, it is keratin filed punctum.
• Site: Scalp, face, back, scrotum, etc. The sebaceous cyst may occur anywhere in the body where there are sebaceous glands.

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Sebaceous Cyst Clinical Features

• It is a painless swelling that is smooth, soft, non-tender, freely mobile, adherent to the skin especially over the summit, fluctuant, and non-transilluminating with punctum over the summit.
• Cyst molds on finger indentation.
• The punctum is present over the summit in 70% of cases because the sebaceous duct opens directly in the skin which gets blocked.
  The punctum is the black-colored spot over the summit of the sebaceous cyst.
• Hair loss over the surface is common because of constant pressure over the roots of the hair follicle.
• The unpleasant odor of sebum content is typical.

Sebaceous Cyst Surgery

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Sebaceous Cyst Antibiotics

Sebaceous Cyst Complication

• Infection and abscess formation
• The surface gets ulcerated leading to the formation of a painful fungating mass with discharge known as Cock’s peculiar tumor which resembles epithelioma.
  Cock’s peculiar tumor is not a tumor but a chronic granuloma on the ulcerated surface of the sebaceous cyst.
• Sebaceous horn results from the hardening of slowly discharged sebum through the punctum.

“Step-By-Step Guide To Treating Sebaceous Cysts”

Sebaceous Cyst Treatment

• Excision includes skin adjacent to the punctum using an elliptical incision also known as the dissection method.
• Incision and avulsion of cystic wall.
• If the abscess is formed, then drainage initially and later excision is done.
• If the capsule is not removed properly cyst will recur.