Painful Chest Growths: Is It Just Acne? - Surgery

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There is a lump in the middle of the chest?


I have a lump in the middle of my chest that has appeared several times.
It hurts, but this time the pain is so severe that it affects my sleep.
Initially, it was slightly raised, but it has grown larger over time.
It resembles a pimple, with a white pus-filled head that eventually bursts.
Is this a pimple? After it bursts, it continues to ooze.
I know I squeezed some of it out, but it hasn't completely healed (it occasionally appears before my menstrual cycle).

Wenwen, 20~29 year old female. Ask Date: 2017/02/07

Dr. Li Zhonghuai reply Surgery


Hello! It is recommended to see a general surgeon for a surgical removal.
Take care! Changhua Hospital cares about you!

Reply Date: 2017/02/07

More Info


When it comes to painful growths in the chest area, particularly those that resemble acne or cysts, it is essential to approach the situation with a comprehensive understanding of potential causes and appropriate management strategies. Based on your description, it sounds like you may be dealing with a type of cyst or an inflamed sebaceous gland, commonly referred to as a sebaceous cyst. These can sometimes become infected, leading to pain, swelling, and the formation of pus, which is likely what you are experiencing.

Sebaceous cysts are typically benign and can occur anywhere on the body, including the chest. They form when the sebaceous glands, which produce oil to lubricate the skin, become blocked. This blockage can lead to the accumulation of sebum, resulting in a cyst that can become inflamed or infected. The fact that you mentioned the growths are painful and have a white pus-filled appearance suggests that there may be an infection present, which can cause significant discomfort and may require medical attention.

It is also worth noting that hormonal changes, such as those that occur during the menstrual cycle, can exacerbate acne and cyst formation. This could explain why you notice these growths appearing more frequently before your period. Hormonal fluctuations can lead to increased oil production and changes in skin cell turnover, contributing to the development of acne-like lesions.

In terms of management, it is crucial to avoid squeezing or popping the cysts, as this can lead to further inflammation and potential scarring. Instead, consider the following steps:
1. Warm Compresses: Applying a warm compress to the affected area can help reduce pain and promote drainage if the cyst is ready to expel its contents. This can also help soothe inflammation.

2. Topical Treatments: Over-the-counter topical treatments containing benzoyl peroxide or salicylic acid may help reduce inflammation and prevent new lesions from forming. However, be cautious with these products, as they can sometimes irritate the skin further.

3. Avoid Irritation: Wear loose-fitting clothing to prevent friction against the area, which can exacerbate discomfort and irritation.

4. Consult a Healthcare Provider: Given that the growth has been persistent, painful, and affecting your sleep, it is advisable to consult a healthcare provider or dermatologist. They can perform a thorough examination and may recommend treatments such as drainage of the cyst, antibiotics if an infection is present, or other interventions based on their findings.

5. Consider Hormonal Evaluation: If you notice a pattern with your menstrual cycle, discussing this with your healthcare provider may be beneficial. They can evaluate whether hormonal imbalances are contributing to the issue and suggest appropriate treatments.

In summary, while it is possible that the growths you are experiencing are acne-related, the symptoms you describe warrant a professional evaluation to rule out other conditions and to receive appropriate treatment. Persistent or painful growths should not be ignored, especially if they interfere with your daily life or sleep. Seeking medical advice will help ensure that you receive the best care tailored to your specific situation.

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