Sebaceous Cysts: Growth, Removal, and Follow-Up Care

Sebaceous cyst

Hello, doctor...
I would like to ask: 1.
Will sebaceous cysts continue to grow? 2.
After removal, will they grow back or are there any potential complications? 3.
Is a follow-up appointment necessary after the removal? Thank you...

M', 20~29 year old female. Ask Date: 2003/01/16

Dr. Huang Junxiong reply Surgery

1.
Sebaceous gland tumors typically grow slowly and will not spontaneously resolve unless surgically treated.
2.
If the cyst is not completely excised, there is a possibility of recurrence.
After removal, aside from potentially leaving a small scar, there are generally no significant sequelae.
3.
A follow-up appointment should be scheduled at least once after excision, with the physician determining if further follow-up is necessary.

Reply Date: 2003/01/16

More Info

Sebaceous cysts, also known as epidermoid cysts, are common benign growths that can occur anywhere on the body, but are most frequently found on the face, neck, and trunk. Understanding their growth, removal, and follow-up care is essential for managing these cysts effectively.

1. Will sebaceous cysts continue to grow?
Sebaceous cysts can indeed grow over time. They are typically slow-growing and may remain small for years, but they can also increase in size due to factors such as inflammation or infection. If a cyst becomes inflamed or infected, it may swell and become painful. While many sebaceous cysts are harmless and do not require treatment, those that grow larger or cause discomfort may need to be evaluated by a healthcare professional.

2. Will the cyst grow back after removal, and are there any side effects?
When a sebaceous cyst is surgically removed, the goal is to excise the entire cyst wall to prevent recurrence. If the cyst wall is not completely removed, there is a possibility that the cyst could return. In terms of side effects, most patients experience minimal complications from the procedure. Common side effects include swelling, redness, and tenderness at the surgical site, which usually resolve within a few days to weeks. Rarely, complications such as infection or scarring can occur. It is essential to follow post-operative care instructions to minimize these risks.

3. Is follow-up care necessary after removal?
Follow-up care is generally recommended after the removal of a sebaceous cyst, especially if there were any complications during the procedure or if the cyst was particularly large. A follow-up appointment allows the healthcare provider to assess the surgical site for signs of infection, proper healing, and to address any concerns the patient may have. If the cyst was removed for cosmetic reasons, follow-up can also help evaluate the aesthetic outcome of the surgery.

In summary, sebaceous cysts can grow over time, and while surgical removal is often effective, there is a chance of recurrence if the entire cyst wall is not excised. Post-operative care is crucial to ensure proper healing and to monitor for any complications. If you have concerns about a sebaceous cyst or its management, it is advisable to consult with a dermatologist or a healthcare provider who specializes in skin conditions. They can provide personalized advice based on your specific situation and help you make informed decisions about your care.

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