#asktheexpert how is dermoid cyst in scalp treated ? by when ? what are its complications ?

Question

Accepted Answer

A dermoid cyst on the scalp is a benign (non-cancerous) growth that often appears at birth or shortly after. It is typically a small, round lump filled with fluid, hair, and sometimes skin tissue. Dermoid cysts are generally harmless but may need treatment in certain cases.

Treatment for Dermoid Cyst:

Observation:

If the dermoid cyst is small, not causing any symptoms (like pain or infection), and isn't growing, the doctor may recommend simply monitoring it.

Surgical Removal:

If the cyst causes discomfort, is growing in size, or becomes infected, surgical removal is the recommended treatment. This is usually done under local or general anesthesia, depending on the size and location of the cyst. The procedure involves removing the cyst entirely along with its capsule to prevent recurrence.

Timing:

Surgery can be performed at any age if necessary, but it's often best to remove it early in life to avoid complications. Your pediatrician or a dermatologist will guide you based on the cyst's characteristics and your child's age. Potential Complications:

Infection:

If the dermoid cyst becomes infected, it may become red, swollen, and painful. This could require antibiotics or drainage.

Recurrence:

If the cyst is not completely removed, it might come back after surgery.

Cosmetic Concerns:

Depending on the size and location of the cyst, there could be a cosmetic concern, especially if it affects visible areas like the scalp.

Pressure or Discomfort:

In rare cases, a dermoid cyst may cause pressure or discomfort, especially if it grows large, though this is uncommon.

If you suspect that your child has a dermoid cyst, it’s always best to have it evaluated by a pediatrician or dermatologist. They can recommend the best course of action based on the cyst's size, location, and any potential complications.