An epidermal inclusion cyst is a small, fluid-filled pocket that forms under your skin. It usually looks and feels like a smooth bump or lump.
Many people call these sebaceous cysts, but that name is actually a bit of a mistake. Real sebaceous cysts are filled with oil (sebum) and are quite rare. The common bumps most people get are actually filled with keratin, which is a thick protein, and dead skin cells.
These are the most common types of sebaceous cyst s found today. While they can happen to anyone—including children—they are most frequently seen in adults between the ages of 20 and 60. They are also slightly more common in men than in women.
You can usually spot a cyst by looking for these signs:
Inside the sebaceous cyst is a collection of keratin and old skin cells. If a doctor drains it, the material inside usually looks like a thick, yellow paste. Because it is made of dead skin cells, it often has a bad smell.
In most cases, these cysts do not cause any pain. However, they can become uncomfortable if:
You can find them almost anywhere, but they are most likely to appear on the:
Most cysts start when a hair follicle gets blocked. Your skin is constantly shedding old cells, but if a follicle is clogged or the skin is injured (like from a scratch or acne), those dead cells get trapped. Instead of falling off, they build up in a pocket under the skin.
In areas without hair, like the palms of your hands, a cyst can form if an injury pushes skin cells deep into the lower layers of the skin.
While most appear randomly, some factors increase the risk:
No. You cannot "catch a cyst from someone else, and you cannot spread yours to other people.
Sometimes a cyst can cause problems, such as:
It is very rare for these cysts to be cancerous. However, you should talk to a doctor if the bump:
A doctor can usually tell it is a cyst just by looking at it during a physical exam. If the cyst is very large or in an unusual spot, they might use:
You should start by seeing your primary doctor. If the cyst needs to be removed, they might refer you to a dermatologist (skin doctor) or a surgeon.
If the cyst isn't bothering you, a doctor might suggest just leaving it alone. If it is swollen, they may recommend:
There are two main ways a doctor can remove a cyst:
Never try to pop or squeeze a cyst yourself. This can lead to a serious infection and scarring.
Since they usually happen randomly, they are hard to prevent. The best way to lower your risk is to protect your skin from injuries and treat skin conditions like acne early.
You should see a doctor anytime you find a new lump on your body or if your child develops an unusual bump. It is important to get a professional diagnosis rather than trying to guess what it is.
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