However, for powder tumors larger than 5mm, on the one hand, it affects the appearance, on the other hand, it often has the opportunity of repeated infection and inflammation.
Usually, doctors will advise patients to have an operation.
If it grows around your face, I suggest you go to see a plastic surgeon, because in case you need to cut off the plastic surgeon, a knife will do.
The excision problem of powder tumor, can you operate?
There are two main reasons for the formation of powder tumor. One is partial sebum blockage of skin, which is formed by hair follicle epithelium, and the other is puncture injury, which makes the cells of epidermis fall into dermis. The incidence of adult is higher than that of children. In treatment, surgical resection is a once-and-for-all method. If the inflammation is serious, steroids will be injected locally, and if there is bacterial infection, antibiotics are needed. If the rupture of the powder tumor causes an inflammatory reaction, white blood cells and phagocytes gather together, and there is a chance to slowly swallow the powder tumor. But the price may be that the inflammation is too severe, causing too much damage to nearby tissues, leaving scars and pigmentation. So when there is a powder tumor, don't squeeze it yourself. It is best for a dermatologist to help you.
It doesn't matter if you don't have tumor surgery. Just control it and see if there is any change. Generally speaking, most of them are benign. Even if it is removed by surgery, it is possible to regrow. The operation to remove powder tumor must be carried out under stable and non-inflammatory conditions. The reaction after treatment has nothing to do with consulting the attending physician. As for the powder tumor, whether it is mature or not, it is not recommended to squeeze it out, otherwise it will easily become inflamed. If it is epidermal tumor or powder tumor, the injection will reduce the swelling, but it will not disappear, and it may recur.
Powder tumor is usually asymptomatic, but it is often red, swollen and painful, and often occurs in places where sebaceous glands are distributed, such as chest, back and neck. However, the diagnosis of dermatosis is based on observation, so it is recommended to find a dermatologist for differential diagnosis.
Known as "powder tumor" in ancient times, it is one of the two most common subcutaneous masses in dermatology, and the other is lipoma. Generally, the size is about one to two centimeters. Unless it is inflamed, the skin will not appear abnormal conditions such as redness and swelling. It is common in young people's scalp, neck, chest and back, but it may also appear in hairless places such as palms and soles. Most of them exist alone, but in the scrotum, they often show multiple lesions.
The contents of the cyst are the accumulated scales, that is, the stratum corneum that should have fallen off. Some epidermal cysts are hemispherical, obviously protruding from the skin surface, while others are deeply buried in the skin, and the existence of cysts can only be felt by touching. But look carefully, most cysts communicate with hair follicles, but some openings are obvious, like a blackhead acne, while others are more obvious when squeezed; Squeeze hard when the opening is obvious, sometimes white paste content can be squeezed out from the pores, which has a cheese-like rancid smell, and sometimes the content will calcify.
At present, it is considered that epidermal cysts should be regarded as hair follicle cysts, not epidermal traps. In other words, epidermal cyst is actually a big acne, and the cause of its formation is not clear, but the friction of special parts, such as women's groin, men's underwear edge, knees or elbows, is considered to be one of the reasons, and research suggests that smoking may be related to multiple lesions.
Whether the epidermoid cyst needs surgical resection or just cleaning and observing the sore surface depends on the situation. Aesthetic, uncomfortable or worried about malignancy, and uncertain diagnosis are the reasons for the operation. In fact, many people live in peace with epidermoid cysts, but there are also many people who get red, swollen and painful every once in a while, and even cause cellulitis around them. This seems to be an untimely bomb, but the real malignant change is very small. As for why there is inflammation and swelling, bacterial infection seems to be generally not an important factor. External compression or internal pressure may cause partial rupture of the capsule wall. When the contents of the cyst come into contact with the external skin, it will cause foreign body inflammatory reaction. But there is no way to prevent epidermal cyst inflammation except to avoid squeezing.
In addition to surgery, before the cyst ruptures, we can also try to evert the cyst, turn the cyst wall upside down and squeeze it out like bubble gum. However, in addition to squeezing out the contents, the epithelial membrane covering the cyst must be turned out to eradicate it. This treatment is the best in terms of aesthetics and safety, but it takes some experience to have a perfect result. As for the inflamed cyst, it is suggested to cut the cyst first, do debridement and discharge pus, and then selectively remove it after the inflammation subsides. However, because the contents have been broken and scattered, it is sometimes difficult to cut them completely. Oral antibiotics are commonly used to treat inflammatory epidermal cysts in clinic. Although bacterial comparison shows that inflammation is not caused by bacteria, antibiotics themselves have anti-inflammatory function in addition to sterilization, so it may still be helpful.