Nasal Sebaceous Cysts: Do They Require Surgery?

Q: Nasal Sebaceous Cysts: Do They Require Surgery?

Ms. <br>Tseng： The exact cause of sebaceous cysts is unknown, and cases are reported year-round. <br>These cysts are located in the dermis or subcutaneous fat layer of the skin. <br>Due to the unclear etiology, it is speculated that they may form when dead keratinized cells from

There is a polyp in the nose?

I recently visited an otolaryngologist because I found a white, protruding growth inside my nose.
The doctor told me it was a sebaceous cyst and mentioned that as long as it doesn't grow larger or cause pain, surgery is not necessary due to its location.
He prescribed me neomycin ointment.
I would like to ask if this is considered cancer? Is surgery needed? If surgery is required, which specialty should I consult?

Ms. Zeng, 20~29 year old female. Ask Date: 2016/02/04

Dr. Lai Yicheng reply Oncology

Ms.
Tseng: The exact cause of sebaceous cysts is unknown, and cases are reported year-round.
These cysts are located in the dermis or subcutaneous fat layer of the skin.
Due to the unclear etiology, it is speculated that they may form when dead keratinized cells from the epidermis enter the cystic cavity after skin injury, accumulating over time and causing the cyst to expand into a spherical shape, resulting in a skin protrusion.
Common locations include the face, earlobes, behind the ears, back, or genital area.

Unlike acne, sebaceous cysts do not spontaneously resolve.
Most sebaceous cysts have a dark opening from which a foul-smelling, white, toothpaste-like secretion can be expressed, which is keratin formed from the epidermis.
Another type of closed cyst may not have an opening and cannot be expressed.
Dr.
Li believes this may be due to the cyst being located too deep or in areas with thicker fatty tissue, such as the buttocks, making it difficult for patients to express it themselves.
Forceful squeezing may lead to inflammation.
The vast majority of sebaceous cysts are benign, and they only rarely transform into skin cancer.
Malignant tumors are much harder than benign cysts.
"You can coexist with benign cysts," as long as they do not pose a threat to life or affect quality of life, choosing not to remove them is generally acceptable.
If the cyst is not severe, patients can first consult a physician to drain the secretion, reducing the size of the cyst and then observe whether surgical removal is necessary later.
If appearance is a significant concern or if the cyst's location severely impacts limb movement, patients may consider surgical excision.
Surgery can be performed with the assistance of a surgeon.
Changhua Hospital cares about you.
Department of Radiation Oncology, Director Lai Yi-Cheng.

Reply Date: 2016/02/04

More Info

Nasal sebaceous cysts, commonly referred to as epidermoid cysts or pilar cysts, are benign growths that can occur in various parts of the body, including the nasal area. These cysts are typically filled with keratin and can appear as small, white, or yellowish bumps on the skin. They are generally harmless and do not pose a significant health risk.
In your case, the doctor has indicated that the cyst is not causing any pain or discomfort and has not increased in size. This is a crucial factor in determining whether surgical intervention is necessary. The general medical consensus is that if a cyst is asymptomatic—meaning it does not cause pain, discomfort, or functional impairment—it can often be monitored rather than surgically removed. Surgery is usually reserved for cases where the cyst becomes infected, painful, or significantly enlarges, leading to cosmetic concerns or obstruction.

Regarding your concern about cancer, it is essential to understand that sebaceous cysts are not cancerous. They are benign lesions and do not have the potential to become malignant. However, if there is any uncertainty about the diagnosis or if the cyst changes in appearance, it is advisable to follow up with your healthcare provider for further evaluation. In some cases, a biopsy may be recommended to rule out other conditions.

If surgical removal is deemed necessary, the procedure is typically performed by an otolaryngologist (ENT specialist) or a dermatologist, depending on the cyst's location and complexity. An ENT specialist would be appropriate if the cyst is located within the nasal cavity or affecting the nasal passages. On the other hand, if the cyst is on the external skin of the nose, a dermatologist may be more suitable.

In terms of treatment, your doctor has prescribed neomycin ointment, which is an antibiotic ointment that can help prevent infection in the area. It is essential to apply the ointment as directed and monitor the cyst for any changes. If you notice any signs of infection, such as increased redness, swelling, warmth, or discharge, you should contact your healthcare provider promptly.

In summary, nasal sebaceous cysts are generally benign and do not require surgery unless they become symptomatic. Regular monitoring is often sufficient, and if surgical intervention is needed, an ENT specialist or dermatologist can provide the appropriate care. Always feel free to discuss any concerns with your healthcare provider, as they can offer personalized advice based on your specific situation.

Similar Q&A

Understanding and Managing Sebaceous Cysts on the Nose

I would like to inquire about a condition I previously had. I visited a surgeon who drained it, and it became smaller. The doctor mentioned that surgery was not necessary to avoid scarring, but it has grown larger again after a short period. Could this be due to my nose being ver...

Dr. Lin Zhemin reply Plastic Surgery
The presence of sebaceous cysts on the nose and oily skin are related. If there is a persistent inflammation and recurrence, it is advisable to undergo surgical removal to prevent ongoing inflammation, which can lead to scar formation.

Alternative Treatments for Sebaceous Cysts Without Surgery on the Face

I have a cyst about 1 cm in diameter located between my eyebrows. Besides surgical removal, are there any other methods to treat it without damaging my face?

Dr. Jin Lianchun reply Dermatology
Hello, sir: A sebaceous cyst can only be completely cured through surgery. Most surgeries are performed using traditional open techniques, while some hospitals' plastic surgery departments may use endoscopic surgery, such as at Kaohsiung Medical University Hospital. You may ...

Understanding Sebaceous Cysts: Insights from an ENT Specialist

Hello Dr. Chen: I just visited the ENT department, and as you mentioned, it is a sebaceous cyst (which is a type of epidermoid cyst). The doctor prescribed me medication and an ointment to apply, but did not mention surgery. Thank you for your patient and detailed responses every...

Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, if the sebaceous cyst persists and is unresponsive to medication, the final step is surgical removal. I hope for your successful treatment. Sincerely, Dr. Chien-Chih Chen, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic U...

Can I Surgically Remove Sebaceous Cysts Behind My Ears?

Hello Doctor: I have had sebaceous cysts behind both of my ears. They were previously inflamed, and the pus was drained, but they were not removed. Occasionally, pus still comes out. Can I directly undergo surgery to completely remove the cysts when there is no inflammation or sw...

Dr. Wu Yuxin reply Dermatology
It is best to remove it in the absence of inflammation.