Subcutaneous cyst
Hello Dr.
Lin, I accidentally felt a small hard lump in my right breast, which does not have any noticeable sensations.
I visited a nearby dermatology clinic, and the doctor diagnosed it as a subcutaneous cyst, suggesting that I should continue to monitor it or consider surgical removal by a general surgeon.
What issues should I be aware of? Since this cyst is close to the breast, could it have any negative effects? Thank you.
vincent, 40~49 year old female. Ask Date: 2003/06/30
Dr. Lin Kecheng reply Surgery
If there are lumps below or near the nipple in males, one should consider "gynecomastia," although the occurrence rate is relatively low.
Most subcutaneous lumps in the chest are usually "sebaceous cysts" or "lipomas," which are generally benign.
If you have concerns, it is advisable to consult a general surgeon for an examination.
In rare cases, an ultrasound may be necessary, and excision followed by pathological examination is the only way to ascertain the truth.
Wishing you good health.
Reply Date: 2003/06/30
More Info
Understanding subcutaneous cysts, particularly in the context of your diagnosis, is essential for managing your health and alleviating any concerns you may have. A subcutaneous cyst, often referred to as an epidermoid cyst or sebaceous cyst, is a benign (non-cancerous) growth that can occur anywhere on the body, including the chest area. These cysts are typically filled with keratin, a protein found in skin cells, and can vary in size.
Key Points to Consider:
1. Nature of Subcutaneous Cysts:
- Subcutaneous cysts are generally harmless and often asymptomatic. They can appear as small, firm lumps beneath the skin. In many cases, they do not require treatment unless they become painful, infected, or bothersome.
2. Diagnosis and Monitoring:
- Your dermatologist has diagnosed the lump as a subcutaneous cyst and recommended observation. This is a common approach, especially if the cyst is not causing any discomfort or other symptoms. Regular monitoring is crucial; you should keep an eye on the cyst for any changes in size, shape, or symptoms such as redness, swelling, or pain.
3. When to Seek Further Evaluation:
- If you notice any of the following changes, it is advisable to consult your healthcare provider:
- Rapid growth of the cyst
- Pain or tenderness in the area
- Redness or warmth around the cyst
- Drainage of pus or other fluids
- Any changes in the texture or appearance of the skin over the cyst
4. Surgical Removal:
- Surgical removal is an option if the cyst becomes bothersome or if there are concerns about infection. The procedure is typically straightforward and can often be done under local anesthesia. Removal is usually recommended if the cyst is recurrent or if it affects your quality of life.
5. Location Concerns:
- Since the cyst is located near the breast, it is understandable to have concerns about its implications. Generally, subcutaneous cysts in this area do not pose a risk of breast cancer or other serious conditions. However, it is essential to differentiate between a cyst and other breast conditions, such as fibroadenomas or breast cancer. If you have a family history of breast cancer or other risk factors, discussing these with your healthcare provider is prudent.
6. Self-Care and Lifestyle:
- Maintaining good skin hygiene can help prevent infections. Avoid squeezing or attempting to drain the cyst yourself, as this can lead to complications. If you have any skin conditions or allergies, inform your healthcare provider, as they may affect your treatment options.
7. Follow-Up:
- Regular follow-up appointments with your dermatologist or primary care physician can help ensure that the cyst is monitored appropriately. They can provide guidance on any necessary imaging or further evaluation if there are changes in the cyst's characteristics.
Conclusion:
In summary, while subcutaneous cysts are typically benign and manageable, it is essential to remain vigilant and proactive about your health. Regular monitoring and open communication with your healthcare provider will help you address any concerns and ensure that you receive appropriate care. If you have any further questions or if your situation changes, do not hesitate to reach out to your healthcare provider for personalized advice and support.
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