If the cyst is inflamed and
fluctuant, surgically drain it. Larger amounts of local anaesthetic
than expected are usually required to deaden the skin before incision
and drainage.
After irrigation and
removal of all visible cyst wall, pack it with iodoform gauze and let
it granulate. Premature closure of the surgical wound is
counterproductive...let it drain. Antibiotics are optional because
this is not initially an infectious process. A few weeks later,
evaluate the site to see if any cyst remains and consider the
feasibility of elliptical excision.
Written and revised by CAPT Dennis
A. Vidmar, MC, USN, Department of Military and Emergency
Medicine, and Department of Dermatology, Uniformed Services University
of the Health Sciences, Bethesda, MD (1999).
Additional images provided by CAPT Vidmar in
June, 2000, subsequent to the initial publication of this manual.
|
Epidermal Inclusion Cyst
|
Preface
· Administrative Section
· Clinical Section
The
General Medical Officer Manual , NAVMEDPUB 5134, January 1, 2000
Bureau
of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C.,
20372-5300
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