Recurrence Risks After Cyst Removal Surgery - Surgery

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Excision of a sebaceous cyst?


Benign skin tumors sometimes have a chance of recurrence, primarily due to incomplete removal or the development of new growths.
It is generally recommended to undergo another excision surgery, as there are no better treatment options available.
Dr.
Ke: During the previous excision surgery, you told me that the cyst was completely removed and would not recur! Now you say I need another surgery—whether to proceed depends on me.
The issue is that I've already had two surgeries, and I'm worried my skin might not be able to handle it.
Will repeated surgeries affect my body’s function? I'm not afraid of pain...
I'm just concerned that if I have this surgery and it grows back again, will I be stuck having surgeries all the time? Now Dr.
Ke has changed his stance and says there’s no guarantee it won’t recur...
You said it wasn't removed completely, but didn’t you previously say it was very cleanly excised? You mentioned new growths; how could they develop in the same location? If they appear in different areas, I would just accept that as a fact of my constitution, but I find it very frustrating...
Why is this happening?! I clean my buttocks diligently every day to prevent recurrence, but I still can’t avoid it...
Why is my constitution so poor?! Is it due to genetic or environmental factors? If I decide not to have the excision and ignore it, what would be the consequences? Could it turn from benign to malignant?

Weiwei, 20~29 year old female. Ask Date: 2011/02/25

Dr. Ke Fangxu reply Surgery


Hello: In response to your questions, 1.
The excision of small skin lesions will not affect bodily functions.
2.
Benign skin tumors do not necessarily need to be excised and will not turn malignant.

Reply Date: 2011/02/25

More Info


When it comes to the recurrence risks after cyst removal surgery, it's important to understand several factors that can influence the likelihood of a cyst returning. Cysts, particularly benign ones, can recur for a variety of reasons, including incomplete removal during the initial surgery or the development of new cysts in the same area or elsewhere on the body.
In your case, it seems that there was a previous surgery where the cyst was reportedly removed completely, yet there is still concern about recurrence. This situation can be frustrating, especially when you have undergone multiple surgeries and are worried about the impact on your skin and overall health.
The recurrence of cysts can be attributed to several factors:
1. Incomplete Removal: If the cyst wall or sac is not entirely removed during surgery, it can lead to the cyst refilling with fluid or material, resulting in a recurrence. This is why some surgeons may recommend a second surgery if they suspect that not all of the cyst was removed.

2. New Cyst Formation: Even if the original cyst was removed successfully, new cysts can develop in the same area or in different locations due to factors such as genetics, skin type, and environmental influences.
3. Underlying Conditions: Certain skin conditions or genetic predispositions can make individuals more prone to developing cysts. If you have a history of cysts, it may be a sign of an underlying issue that could require further investigation.

Regarding your concerns about the impact of repeated surgeries on your body, it is generally true that multiple surgeries can lead to scarring and changes in the skin. However, the impact on overall body function is usually minimal, especially if the surgeries are performed by a skilled surgeon and proper post-operative care is followed.
If you are considering whether to undergo another surgery or leave the cyst untreated, it is crucial to weigh the potential risks and benefits. If left untreated, benign cysts typically do not turn malignant; however, they can become symptomatic, leading to discomfort or infection. If the cyst grows or becomes painful, surgical intervention may become necessary.

If you decide not to have the cyst removed, it is essential to monitor it for any changes in size, shape, or symptoms. Regular follow-ups with your healthcare provider can help ensure that any potential issues are addressed promptly.

In summary, while the recurrence of cysts can be frustrating, understanding the reasons behind it can help you make informed decisions about your treatment options. Consulting with a dermatologist or a surgeon who specializes in skin conditions can provide you with tailored advice based on your specific situation. They can help you determine the best course of action, whether that involves further surgery or a watchful waiting approach. Remember, maintaining good hygiene and monitoring the cyst for any changes are essential steps in managing your condition.

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