Should My Child See a Pediatric Surgeon or Dermatologist for a 2cm Scalp Cyst?

A hard cyst approximately 2 cm on the scalp?

Hello Dr.
Lin, my daughter is currently 3 years old.
Recently, while washing her hair, I discovered a hard cyst approximately 2 cm in size on the scalp behind her right ear.
Should we see a pediatric surgeon or a dermatologist for this condition? Thank you for taking the time to respond.
Best regards, Goethe.

Geote, 30~39 year old female. Ask Date: 2011/11/14

Dr. Lin Zhiguang reply Surgery

Hello Goethe, there is a possibility of a cyst on the scalp, specifically a sebaceous cyst (epidermoid cyst).
Some may be related to the ear canal, but a consultation is necessary for a definitive diagnosis.
Both pediatric surgery and dermatology should be able to provide a diagnosis.
However, given the young age and the size of the tumor being 2 cm, it may be necessary to evaluate whether surgery is needed based on the situation.
Sincerely Yours.

Reply Date: 2011/11/14

More Info

When it comes to a 2cm scalp cyst in your child, the decision on whether to see a pediatric surgeon or a dermatologist can depend on several factors, including the nature of the cyst, its symptoms, and your child's overall health.
In general, both pediatric surgeons and dermatologists are equipped to handle skin-related issues, but they may approach the situation differently. A dermatologist specializes in skin conditions and can provide a thorough evaluation of the cyst. They can determine whether it is a benign condition, such as an epidermoid cyst or a sebaceous cyst, or if it requires further investigation. If the cyst is asymptomatic (not causing pain, redness, or other issues), a dermatologist might recommend monitoring it over time, especially if it is not growing or changing.

On the other hand, if the cyst is causing discomfort, showing signs of infection (such as redness, warmth, or pus), or if there is a concern about its nature (for instance, if there is a possibility of it being a more serious condition), a pediatric surgeon may be the more appropriate choice. Pediatric surgeons are trained to perform surgical procedures on children, including the removal of cysts, if necessary. They can also address any complications that may arise during the procedure, ensuring that your child receives the best care possible.

In your case, since the cyst is located on the scalp and is approximately 2cm in size, it would be advisable to consult with a dermatologist first. They can assess the cyst and determine if it requires surgical intervention or if it can be managed conservatively. If the dermatologist feels that surgical removal is warranted, they may refer you to a pediatric surgeon for the procedure.

Regarding the safety and risks associated with cyst removal, it is important to note that while any surgical procedure carries some risks, the likelihood of serious complications is generally low, especially when performed by a qualified professional. The procedure can often be done under local anesthesia, which minimizes the need for general anesthesia and overnight hospitalization. In many cases, children can go home the same day after the procedure.

As for the age of your child, three years old is typically an appropriate age for such procedures, provided that the child is healthy and the cyst is not causing significant issues. Pediatric surgeons and dermatologists are accustomed to working with young children and can tailor their approach to ensure the comfort and safety of your child.

In conclusion, I recommend starting with a visit to a dermatologist who can evaluate the cyst and determine the best course of action. If surgical intervention is needed, they will refer you to a pediatric surgeon. Always ensure that you discuss any concerns you have with the healthcare provider, as they can provide personalized advice based on your child's specific situation.

Similar Q&A

Understanding Pediatric Scalp Cysts: What Parents Need to Know

Hello, doctor! My daughter developed a growth on her scalp that appears to be a cyst when she was almost three months old. Now that she is seven months old, the cyst has grown to about 1.6 centimeters. After consulting a dermatologist, the doctor mentioned that it looks like eith...

Dr. Xiao Kaiwen reply Pediatrics
Juvenile xanthogranuloma typically manifests around six months after birth, with an unknown etiology. It is commonly found on the face, neck, and upper trunk, and may occasionally involve internal organs. Most cases resolve spontaneously by the age of 3 to 5 years; if they have n...

Scalp Bump: When to See a Dermatologist or Surgeon?

A few years ago, I noticed a small hard lump on the back of my head. I went to the hospital for an MRI, but nothing was found, and since it wasn't painful or bothersome, I left it alone. A few days ago, after getting a haircut, it seems to have become inflamed. It itches and...

Dr. Wu Yuxin reply Dermatology
First, see a dermatologist.

Which Medical Specialty Should You Choose for Your Child's Skin Concerns?

I took my child to the clinic for a common cold, and the doctor noticed an unknown lump on her face. He recommended that we go to a larger hospital for further examination. I live in Taichung, and my daughter is currently 4 years and 2 months old. At birth, she had a brown oval s...

Dr. Xiao Kaiwen reply Pediatrics
Neurofibromas on the skin are sebaceous gland proliferations and can be evaluated by a pediatric neurologist.

Understanding Sebaceous Nevus: Treatment Options and Concerns for Your Child

Hello, my daughter is currently 10 months old. At birth, she had a sebaceous nevus the size of a ten-dollar coin on her scalp, which is hairless. She often scratches it until it bleeds. Should I take her to a doctor for a biopsy and treatment now, or should I wait until she is ol...

Dr. Hong Zhengsheng reply Dermatology
Dear Concerned Mother, The treatment for sebaceous gland nevus is surgical excision. The risks associated with the surgery will be thoroughly communicated to you by the surgeon performing the procedure, so there is no need for excessive worry on that front. Regarding cosmetic co...