A sebaceous cyst (a form of trichilemmal cyst) is a closed sac or cyst below the surface of the skin that has a lining that resembles the uppermost part (infundibulum) of a hair follicle and fills with a fatty white, semi-solid material called sebum. Sebum is produced by sebaceous glands of the epidermis.
It is sometimes (but not always) considered to be equivalent to epidermoid cyst, or similar enough to be addressed as a single entity.
Some sources state that a “sebaceous cyst” is defined not by the contents of the cyst (sebum) but by the origin (sebaceous glands). Because an “epidermoid cyst” originates in the epidermis, and a “pilar cyst” originates from hair follicles, neither type of cyst would be considered a sebaceous cyst by this definition. However, in practice, the terms are often used interchangeably.
“True” sebaceous cysts are relatively rare.
The scalp, ears, back, face, and upper arm, are common sites for sebaceous cysts, though they may occur anywhere on the body except the palms of the hands and soles of the feet. In males a common place for them to develop is the scrotum and chest .They are more common in hairier areas, where in cases of long duration they could result in hair loss on the skin surface immediately above the cyst. They are smooth to the touch, vary in size, and are generally round in shape.
They are generally mobile masses that can consist of:
- fibrous tissues and fluids
- a fatty, (keratinous), substance that resembles cottage cheese, in which case the cyst may be called “keratin cyst”
- a somewhat viscous, serosanguineous fluid (containing purulent and bloody material)
The nature of the contents of a sebaceous cyst, and of its surrounding capsule, will be determined by whether the cyst has ever been infected.
With surgery, a cyst can usually be excised in its entirety; poor surgical technique or previous infection leading to scarring and tethering of the cyst to the surrounding tissue may lead to rupture during excision and removal. A completely removed cyst will not recur, though if the patient has a predisposition to cyst formation, further cysts may develop in the same general area.
Causes of Sebaceous cyst
Blocked sebaceous glands, swollen hair follicles, and excessive testosterone production will cause such cysts.
A case has been reported of sebaceous cyst being caused by Dermatobia hominis.
Treatment of Sebaceous cyst
Sebaceous cysts generally do not require medical treatment. However, if they continue to grow, they may become unsightly, painful, infected, or all of the above.
Surgical excision of a sebaceous cyst is a procedure to completely remove the sac and its contents. 
There are three general approaches used: traditional wide excision, minimal excision, and punch biopsy excision.
The typical outpatient surgical procedure for cyst removal is to numb the area around the cyst with a local anaesthetic, then to use a scalpel to open the lesion with either a single cut down the center of the swelling, or an oval cut on both sides of the centerpoint. If the cyst is small, it may be lanced instead. The person performing the surgery will squeeze out the keratin (the semi-solid material consisting principally of sebum and dead skin cells) surrounding the cyst, then use blunt-headed scissors or another instrument to hold the incision wide open while using fingers or forceps to try to remove the cyst intact. If the cyst can be removed in one piece, the “cure rate” is 100%. If, however, it is fragmented and cannot be entirely recovered, the operator may use curettage (scraping) to remove the remaining exposed fragments, then burn them with an electro-cauterization tool, in an effort to destroy them in place. In such cases the cyst may or may not recur. In either case, the incision is then disinfected and, if necessary, the skin is stitched back together over it. A scar will most likely result. In some cases where “cure rate” is not 100% the resulting hole is filled with an antiseptic ribbon after washing it with an iodine based solution. This is then covered with a field dressing. The ribbon and the dressing are to be changed once or twice daily for 7-10 days after which the incision is sewed up.
An infected cyst may require oral antibiotics or other treatment before and/or after excision.
An approach involving incision, rather than excision, has also been proposed.
Another common and effective method of treatment involves placement of a heat-pad directly on the cyst for about fifteen minutes, twice daily, for about 10 days (depending on size and location of the cyst).
This method works by bringing the temperature of the wax-like material inside of the cyst to a temperature at which it melts, and can be reabsorbed and processed by the body, as a small amount of oily fluid. This method is preferred over surgery both for reasons of associated costs and risks of surgery. This methodology is not applicable for non-sebaceous cysts, however, as other varieties of cysts do not contain the same hardened sebum deposits, and therefore do not melt to be reabsorbed by the body.
Under no circumstances must one try to pop the cyst, as it can lead to infection of the surrounding tissue. The neck is a particularly dangerous region, due to the glands and blood vessels.
Homeopathy Treatment for Sebaceous cyst
Keywords: homeopathy, homeopathic, treatment, cure, remedy, remedies, medicine
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution, family history, presenting symptoms, underlying pathology, possible causative factors etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’. The disease diagnosis is important but in homeopathy, the cause of disease is not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness are also looked for. No a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition. The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology is not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can be greatly improved with homeopathic medicines.
The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy. To study any of the following remedies in more detail, please visit the Materia Medica section at Hpathy.
None of these medicines should be taken without professional advice and guidance.
Homeopathy Remedies for Sebaceous cyst :
Agar., am-c., anac., ant-c., bar-c., benz-ac., brom., calc., calc-sil., caust., coloc., con., daph., graph., hep., kali-br., kali-c., kali-i., mez., nit-ac., ph-ac., phyt., rhus-t., sabin., sil., spong., sulph., thuj.
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- ^ “MedlinePlus Medical Encyclopedia: Sebaceous cyst“. Retrieved on 2007-11-14.
- ^ “Minimal Excision Technique for Epidermoid (Sebaceous) Cysts – April 1, 2002 – American Family Physician“. Retrieved on 2007-10-26.
- ^ Harbin LJ, Khan M, Thompson EM, Goldin RD (2002). “A sebaceous cyst with a difference: Dermatobia hominis”. J. Clin. Pathol. 55 (10): 798–9. PMID 12354816.
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- ^ Moore RB, Fagan EB, Hulkower S, Skolnik DC, O’Sullivan G (2007). “Clinical inquiries. What’s the best treatment for sebaceous cysts?”. The Journal of family practice 56 (4): 315–6. PMID 17403333.
- ^ Nakamura M (2001). “Treating a sebaceous cyst: an incisional technique”. Aesthetic plastic surgery 25 (1): 52–6. PMID 11322399.
- ^ “Home treatment for a sebaceous cyst – Yahoo! Health“. Retrieved on 2007-11-14.
Dr. Manish Bhatia
BHMS, BCA, M.Sc. Homeopathy (UCLAN, UK), CICH (IACH, Greece)
Dr. Manish Bhatia is the Founder Director of Hpathy.com, world’s leading homeopathy portal, serving homeopathy to more than half a million people every month. He is also Editor of Homeopathy for Everyone.
He runs a consultation office at Jaipur (Asha Homeopathy) and is one of the most well known Indian homeopaths globally. He has been practicing since 2001 and is helping Autism and other psychiatric patients since 2006. He was awarded Rajasthan’s foremost Raja Pajvan Dev Award For Excellence in the field of Medicine in 2015.
He has been working as an Asso. Professor of Organon of Medicine at S. K. Homeopathic Medical College since 2002. He was awarded with the prestigious APJ Abdul Kalam State Level Teacher’s Award in 2016. He has also given seminars and webinars in several countries of Europe, Americas and Australia.
He is the author of Lectures on Organon of Medicine Vol. I & II (English, Bulgarian, German editions), which are approved by the Central Council of Homeopathy (India) for BHMS and MD (Hom) syllabus. He is a contributing author to the book “Homeopathy and Mental Health Care: Integrative Practice, Principles and Research” and co-editor of “The Fireside Book of Homeopathy Tales.”