Understanding Pilar Cysts

Characteristics:

• Appearance: Smooth, round, and firm lump under the skin.
• Size: Can range from small to very large (several centimeters in diameter).
• Location: Commonly found on the scalp but can occur elsewhere.
• Symptoms: Usually painless but may become tender, red, or swollen if infected.

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Treatment Options for Large Pilar Cysts

1. Leave It Alone (If Symptom-Free):

• Pilar cysts are typically harmless and may not require treatment unless they grow large, cause discomfort, or become infected.

2. Home Care (Temporary Relief):

• Warm Compress: Apply a clean, warm compress to the cyst for 10-15 minutes, several times a day, to promote drainage if it starts to swell or feel tender.
• Avoid Picking or Squeezing: This can cause infection or make the cyst worse.

3. Professional Medical Treatment:

• Surgical Removal:
  • A healthcare provider can remove the cyst through a minor surgical procedure, especially if it is large or bothersome.
  • The area is numbed with local anesthesia, and the cyst is excised, often including the sac to prevent recurrence.
• Aspiration (Rarely Done):
  • Fluid inside the cyst may be drained with a needle, but this does not remove the sac and may lead to recurrence.
• Treatment for Infection:
  • If the cyst becomes infected, antibiotics may be prescribed, and the cyst may need to be drained before removal.

4. Aftercare:

• Keep the wound clean and dry.
• Follow the doctor’s instructions for dressing changes.
• Watch for signs of infection (e.g., redness, warmth, pus, or fever).

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When to See a Doctor

Seek medical attention if:

• The cyst grows rapidly or becomes very large.
• There is redness, warmth, pain, or discharge, indicating infection.
• The cyst interferes with daily activities or causes cosmetic concerns.

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Prevention Tips:

• Pilar cysts are often hereditary and may not be preventable.
• Maintaining good scalp hygiene and monitoring skin changes can help in early detection.