Treat Epidermal
Cysts
An epidermal cyst is a mass of epidermal cells that has been pushed into the dermis as a result of trauma. It is lined with epithelium and contains cytokeratins one and 10, which is at least partially responsible for the inflammation. This inflammation and repeated trauma may play a role in an epidermal cyst's occasional progression to a carcinoma. The following steps will show treat an epidermal cyst.
Instructions
1. Treat inflamed, uninfected epidermal cysts with triamcinolone injected under the lesion. Epidermal cysts do not need treatment if they are asymptomatic.
2. Remove infected cysts by incision and provide drainage. This is the fastest and simplest method for removing epidermal cysts, but recurrences are frequent because the lining is not removed and continues to produce keratin.
3. Use a complete excision as the most definitive treatment. This method has the least chance of recurrence or missing a change to malignancy. The wound may be sutured immediately or drained before closing. The primary disadvantage is a larger wound with a greater chance of scarring.
4. Perform mini-incisions to drain the epidermal cysts and remove the lining through the opening. This also may be done with trephination and a punch biopsy. Another technique is to insert a diathermy needle into the cyst to decompress it. The lining can then be accessed if needed. The wounds from all of these techniques are often small enough to heal secondarily.
5. Provide oral antibiotics against staphylococcal infections after the surgery.
Tags: epidermal cyst, epidermal cysts, Treat Epidermal, Treat Epidermal Cysts
