Sebaceous cyst

• 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

  The main symptom is usually a small, non-painful lump beneath the skin. However, if it becomes infected, you may have redness, tenderness, or increased temperature of the skin over the area.

  Grayish-white, cheesy, foul-smelling material may drain from the cyst.

• Signs and tests

  In most cases, your doctor can diagnose this type of cyst by simply examining your skin. Occasionally, a biopsy may be needed to rule out other conditions.

• Treatment

  Sebaceous cysts are not dangerous and can usually be ignored. Placing a warm moist cloth (compress) over the area may help the cyst drain and heal.

  If you have a small inflamed cyst, your doctor may inject it with a steroid medicine that reduces swelling.

  If the cyst becomes swollen, tender, or large, your doctor may surgically remove it. This procedure is done in the doctor's office.

• Expectations (prognosis)

  Large, painful cysts may interfere with day-to-day life.

• Complications

  These cysts may occasionally become infected and form painful abscesses.

  The cysts may return after they are surgically removed.

• Calling your health care provider

  Call your health care provider if you notice any new growths on your body. Although cysts are not dangerous, your doctor should examine you for signs of skin cancer.

• References

  Habif TP. Clinical Dermatology. 4th ed. St. Louis, Mo: Mosby; 2004.

  Roberts JR, Hedges JR. Clinical Procedures in Emergency Medicine. 4th ed. Philadelphia, Pa: WB Saunders; 2004.

Review Date: 4/12/2007

Reviewed By: Kevin Berman, MD, PhD, Associate, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network.