Cysts

What Causes a Cyst?

A cyst is a harmless, sac-like growth in the deeper layers of the skin. The cyst sac is filled with a soft, whitish brown material which at times oozes out onto the skin’s surface. We do not know why cysts appear, nor do we know why some people get many of them; we suspect there is a genetic link in some cases.

Cysts are a nuisance, but, rarely become cancerous or malignant. Occasionally, germs get into the cyst and cause an infection that resembles a boil. When this happens, antibiotics taken by mouth and minor surgery performed in the office may be needed to relieve the pressure and discomfort, and hopefully treat and remove the cyst wall.

Treatment

Small cysts ordinarily do not need treatment unless they cause symptoms. Larger cysts are usually removed because of their size and the danger of infection and irritation.

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Cysts are treated by making a small surgical opening into the skin and removing the sac. This small operation is done in the office. A local anesthetic is used to numb the skin. Stitches are often used to close the skin opening and are usually removed 7 to 14 days later. Surgery usually cures cysts, but sometimes, a cyst comes back and can require additional treatments.

There are a variety of cyst types including hard scalp cysts, those are called pilar cysts.