Epidermoid Cyst

10 min read

An epidermoid cyst is a small, benign (non-cancerous) lump or bump that typically appears on the skin. It is also known as an epidermal cyst, infundibular cyst, or epidermal inclusion cyst. Epidermoid cysts are most commonly found on the face, neck, or trunk, but can occur anywhere on the body.

Causes

Epidermoid cysts are caused by the buildup of keratin, a protein found in skin cells. This buildup can occur when a hair follicle or sweat gland becomes blocked. The cyst forms when the keratin is trapped beneath the surface of the skin.

Diagnosis

Epidermoid cysts are typically diagnosed by a physical examination. Your doctor may also order imaging tests, such as an ultrasound or MRI, to confirm the diagnosis. In some cases, a biopsy may be necessary to rule out other conditions.

Complications

Epidermoid cysts are typically harmless and do not cause any complications. However, if the cyst becomes infected, it can cause pain, redness, and swelling. In rare cases, the cyst may rupture, causing the contents to leak out and potentially leading to an infection.

Symptoms

Common Symptoms of an Epidermoid Cyst

  • A small, round lump on the skin
  • A lump that is firm to the touch
  • A lump that is painless and does not move
  • A lump that is yellow, white, or flesh-colored
  • A lump that is filled with a thick, cheese-like substance
  • A lump that is surrounded by a thin wall of skin
  • A lump that may become red, swollen, and tender if it becomes infected

When to See a Doctor

If you notice a lump on your skin that you think may be an epidermoid cyst, it is important to see a doctor. Your doctor can examine the lump and determine if it is an epidermoid cyst or something else. They can also provide treatment if necessary.

If the epidermoid cyst becomes infected, it is important to seek medical attention right away. Signs of infection include redness, swelling, tenderness, and pain. Your doctor can prescribe antibiotics to treat the infection.

Take the Epidermoid Cyst Assessment

Causes

Genetics

Epidermoid cysts may be caused by a genetic predisposition. If a family member has had an epidermoid cyst, it is more likely that other family members will develop them as well. This is because the genetic makeup of the family may make them more prone to developing these cysts.

Trauma

Trauma to the skin can also cause epidermoid cysts. This can include cuts, scrapes, burns, or any other type of injury that damages the skin. When the skin is damaged, it can cause the cells to become trapped beneath the surface, leading to the formation of a cyst.

Hormones

Hormonal changes can also contribute to the formation of epidermoid cysts. During puberty, hormonal changes can cause the skin to produce more oil, which can lead to the formation of cysts. Hormonal changes during pregnancy can also cause cysts to form.

Bacteria

Bacteria can also cause epidermoid cysts. Bacteria can enter the skin through cuts or scrapes, and can cause the cells to become trapped beneath the surface. This can lead to the formation of a cyst.

Conclusion

Epidermoid cysts can be caused by a variety of factors, including genetics, trauma, hormones, and bacteria. While the exact cause of epidermoid cysts is unknown, understanding the potential causes can help to prevent them from forming.

Getting a Diagnosis

Diagnostic Tests

In some cases, the doctor may order additional tests to confirm the diagnosis. These tests may include:

  • Imaging tests, such as an X-ray or ultrasound, to look for any abnormalities in the area.
  • A biopsy, which involves taking a small sample of the cyst and examining it under a microscope.
  • A blood test to check for signs of infection.

Treatment

Epidermoid cysts are usually harmless and do not require treatment. However, if the cyst becomes irritated or infected, the doctor may recommend treatment. Treatment options may include:

  • Antibiotics to treat any infection.
  • Corticosteroid injections to reduce inflammation.
  • Surgery to remove the cyst.

Questions for Your Doctor

Diagnosis

Your doctor will need to diagnose your epidermoid cyst in order to determine the best course of treatment. Your doctor may use a physical exam, imaging tests, or a biopsy to diagnose your cyst. Be sure to ask your doctor about the diagnosis process and what tests may be necessary.

Treatment Options

Once your doctor has diagnosed your epidermoid cyst, they will discuss treatment options with you. Treatment options may include draining the cyst, removing it surgically, or using medications to reduce inflammation. Be sure to ask your doctor about the risks and benefits of each treatment option.

Follow-up Care

Your doctor may recommend follow-up care after your epidermoid cyst has been treated. This may include regular check-ups or imaging tests to monitor the cyst. Be sure to ask your doctor about any follow-up care that may be necessary.

Prevention

Epidermoid cysts can often be prevented by avoiding activities that can cause skin trauma or irritation. Be sure to ask your doctor about any lifestyle changes or precautions you can take to reduce your risk of developing an epidermoid cyst.

Treatment

Drainage

The most common treatment for epidermoid cysts is to drain the cyst and remove the contents. This is done by making a small incision in the cyst and using a needle to remove the contents. The area is then cleaned and a bandage is applied. This procedure is usually done in a doctor's office and does not require anesthesia.

Surgical Removal

In some cases, the cyst may need to be surgically removed. This is done by making an incision in the skin and removing the entire cyst. The area is then closed with stitches. This procedure is usually done in a hospital or clinic and requires anesthesia.

Cryotherapy

Cryotherapy is a procedure that uses extreme cold to freeze and destroy the cyst. This procedure is usually done in a doctor's office and does not require anesthesia. The area is then cleaned and a bandage is applied.

Laser Treatment

Laser treatment is a procedure that uses a laser to destroy the cyst. This procedure is usually done in a doctor's office and does not require anesthesia. The area is then cleaned and a bandage is applied.

Medication

In some cases, medication may be prescribed to help reduce inflammation and pain. This may include antibiotics, anti-inflammatory medications, or steroid injections. These medications are usually taken orally or injected directly into the cyst.

Home Remedies

There are also some home remedies that may help reduce the size of the cyst or reduce inflammation. These include applying warm compresses to the area, using tea tree oil, or applying aloe vera gel. It is important to talk to your doctor before trying any home remedies.

Drugs & Medications

Treatment Options for Epidermoid Cysts

The most common treatment for epidermoid cysts is to have them surgically removed. This is usually done under local anesthesia and involves making a small incision in the skin and removing the cyst. The cyst can also be drained, which involves making a small hole in the cyst and draining the fluid inside. This is usually done in a doctor's office and does not require anesthesia.

In some cases, medications may be prescribed to reduce inflammation and help the cyst heal. These medications may include antibiotics, anti-inflammatory drugs, or corticosteroids. In some cases, a topical cream or ointment may be used to reduce the size of the cyst.

Preventing Epidermoid Cysts

Epidermoid cysts can be prevented by avoiding activities that can cause skin trauma, such as picking at the skin or squeezing pimples. It is also important to keep the skin clean and moisturized to reduce the risk of infection. If you have an epidermoid cyst, it is important to keep it clean and dry to reduce the risk of infection.

Diet

What to Eat

A healthy diet is important for overall health and may help reduce inflammation and promote healing. Eating a variety of nutrient-dense foods can help support the body’s natural healing processes. Some foods to consider include:

  • Fruits and vegetables: Fruits and vegetables are packed with vitamins, minerals, and antioxidants that can help reduce inflammation and promote healing.
  • Whole grains: Whole grains are a good source of fiber and other nutrients that can help reduce inflammation and support the immune system.
  • Healthy fats: Healthy fats, such as those found in olive oil, avocados, and nuts, can help reduce inflammation and promote healing.
  • Lean proteins: Lean proteins, such as fish, chicken, and beans, can help support the body’s natural healing processes.

What to Avoid

Certain foods may increase inflammation and make epidermoid cysts worse. It’s best to avoid or limit the following foods:

  • Processed foods: Processed foods are often high in sugar, salt, and unhealthy fats, which can increase inflammation.
  • Refined carbohydrates: Refined carbohydrates, such as white bread and pasta, can cause blood sugar spikes and increase inflammation.
  • Sugary drinks: Sugary drinks, such as soda and juice, can increase inflammation and make epidermoid cysts worse.
  • Alcohol: Alcohol can increase inflammation and make epidermoid cysts worse.

Conclusion

Epidermoid cysts are small, round bumps that form under the skin. While there is no specific diet that can prevent or treat epidermoid cysts, certain foods may help reduce inflammation and promote healing. Eating a variety of nutrient-dense foods, such as fruits and vegetables, whole grains, healthy fats, and lean proteins, can help support the body’s natural healing processes. It’s also important to avoid or limit processed foods, refined carbohydrates, sugary drinks, and alcohol, as these can increase inflammation and make epidermoid cysts worse.

Lifestyle

Keep the Skin Clean and Dry

Keeping the skin clean and dry is one of the most important steps in preventing and managing epidermoid cysts. Washing the skin regularly with a mild soap and warm water can help remove dirt, oil, and bacteria that can cause cysts to form. After washing, it is important to dry the skin thoroughly, as moisture can also contribute to the formation of cysts.

Avoid Irritants

Certain substances can irritate the skin and increase the risk of developing epidermoid cysts. These include harsh soaps, detergents, and other skin care products. It is important to avoid these irritants and use mild, fragrance-free products instead.

Protect the Skin from Injury

Injury to the skin can increase the risk of developing epidermoid cysts. It is important to protect the skin from cuts, scrapes, and other injuries. Wearing protective clothing and avoiding activities that could cause injury can help reduce the risk.

Manage Stress

Stress can cause the body to produce hormones that can increase the risk of developing epidermoid cysts. It is important to manage stress levels by getting enough sleep, exercising regularly, and engaging in relaxation techniques such as yoga or meditation.

See a Doctor

If lifestyle changes do not help reduce the risk of developing epidermoid cysts, it is important to see a doctor. A doctor can diagnose the condition and recommend treatment options such as medications or surgery.