Skip to Content
UW Health SMPH

Epidermoid Cysts



Epidermoid cysts are the most common type of cyst in humans.  Epidermoid cysts are also called epithelial or sebaceous cysts.  They appear as a light tan or yellow bump, and most often occur on the face, scalp, and nape of the neck or back.  Most epidermoid cysts are formed by a build-up of keratin (a protein) with no way for the keratin to get to the surface of the skin.  The skin cells build up and form a cyst.  Sometimes, epidermal cells are displaced or entrapped during embryonic development.  They then form keratin which can’t get to the surface of the skin, and a cyst is formed.  The contents of the cysts appear cheesy and are often foul-smelling.  These cysts never become cancer.

 

Epidermoid cysts may be watched for years, often cause no trouble, and may go away by themselves.  These are benign bumps, which often do not need to be treated.  You may want them treated if they become red, tender, or drain though.  Antibiotics can be prescribed to decrease the inflammation and, in some cases, the cyst will be injected with steroids.

 

 

 

Treatment

 

Surgery.

This will leave a scar.  As with all minor surgeries, there is a small risk of infection.

 

Incision and drainage.

Sometimes the cyst wall (sac that contains the contents of the cyst) can be removed through a small cut in the roof of the cyst after the contents have been emptied.  But if any of the wall is left behind, the cyst will most likely recur.

 

 

UW Dermatology Department

1 S. Park St 7th Floor

Madison, WI 53715

Clinic: 608 287-2450

American Family Children’s Hospital

Pediatric Dermatology Specialty Clinic

1675 Highland Ave.

Madison, WI  53792

Clinic: 608 263-6420

 

The Spanish version of this Health Facts for You is #7159.



The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.

Last Updated: 02/23/2011

Copyright © 05/01/2009 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. UWH #6460

Print Health Fact For You