Epidermoid Cyst – Cyst Removal
Cyst Removal. Epidermoid cyst or epidermal inclusion cyst is a benign cyst usually found on the skin. It is a tense, mobile, full of keratin, subcutaneous cyst, which derives from epidermal cells. The epidermal cysts grow automatically, usually after the onset of puberty.
They are often found in the face, the postauricular area, the neck and the trunk. The lesions are usually single, although several cysts are found in some patients. Sometimes they appear in the palms and soles after an injury.
The epidermal cysts grow slowly to some size and then persist for a lifetime. They have a thin wall and have tendency to rupture. When they break, local inflammation is induced, which usually subsides and the cyst regresses. Scar tissue is often formed, which makes excision of the cyst difficult.
The epidermal cysts are recommended to be removed surgically entirely along with their wall to avoid the aforementioned complications and for aesthetic reasons.
Trichilemmal or Pilar Cyst
It is a tense, mobile, full of keratin, subcutaneous cyst, which originates from the outside or fibrous hair follicle and is usually located on the scalp. The lesions develop almost always after puberty and are usually more than one.
The trichilemmal cysts grow slowly to some size and then persist for a lifetime. They tent to break more difficultly than the epidermal cysts, probably because they have stronger side walls. Their rupture is usually due to head injury and leads to the release of their contents in the surrounding tissues. There is intense inflammation, which can be extremely painful. With scarring of inflammation, scar tissue is often formed.
Large cysts can create aesthetic problems in patients and due to local alopecia that they can cause, from the pressure on the skin.
Trichilemmal cysts are recommended to be removed surgically to avoid the aforementioned complications and for aesthetic reasons. When alopecia is installed around the cyst, it is corrected at the same time as cyst removal.
Gamglion Cyst Removal.
They are cystic soft tissue formations near the joints and the tendons.
The ganglia of the joints are more often found in the dorsal surface of the wrist, at 50-70%. Less frequent locations are the palmar wrist surface, the knee’s outer surface and the dorsal surface of the tarsus. Frequency is higher in women (3:1). These ganglia may cause sensitivity or symptoms of nerve pressure or affect the sliding of a tendon, resulting in a reduction in the active movement of the fingers.
The tendon ganglia are located at the base of the palmar surface of the fingers, the main annoyance being the pain and the difficulty in grabbing motions.
The surgical treatment of the ganglia occurs despite frequent recurrences of 15-40%, in order to deal with the aforementioned symptoms and for aesthetic reasons.