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A.D.A.M. Medical Encyclopedia [Internet]. Atlanta (GA): A.D.A.M.; 2013.

A.D.A.M. Medical Encyclopedia.

Sebaceous cyst

Epidermal cyst; Keratin cyst; Epidermoid cyst

Last reviewed: May 13, 2011.

A sebaceous cyst is a closed sac under the skin filled with a cheese-like or oily material.

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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.

If the lump becomes infected or inflammed, other symptoms may include:

  • Skin redness
  • Tender or sore skin
  • Warm skin in the affected 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 drain it or perform surgery to remove it.

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

  1. Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2009.

Review Date: 5/13/2011.

Reviewed by: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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Copyright © 2013, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only — they do not constitute endorsementscof those other sites. © 1997–2011 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

Copyright © 2013, A.D.A.M., Inc.

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