Large cyst on back. Large Cysts on Back: Comprehensive Guide to Causes, Types, and Treatments
What are the main causes of large cysts on the back. How can you identify different types of cysts. What are the most effective treatments for back cysts. How can you prevent cysts from developing on your back.
Understanding Cysts: Definition and General Characteristics
Cysts are small pockets of tissue filled with air, fluid, or other substances. They can develop almost anywhere in the body, including under the skin. While most cysts are benign, their impact on an individual’s health and comfort can vary significantly depending on their size, location, and type.
Key characteristics of cysts include:
- Sac-like structure
- Filled with fluid, air, or other materials
- Can grow in various parts of the body
- Often benign, but may require treatment
When Do Cysts Require Medical Attention?
The necessity for treatment depends on several factors:
- Type of cyst
- Location on the body
- Presence of pain or discomfort
- Signs of inflammation or infection
If you’re unsure about a skin condition, consider consulting an online dermatologist by sending them a picture for assessment.
Common Types of Cysts Found on the Back
While cysts can appear anywhere on the body, some types are more likely to develop on the back. Understanding these types can help in identifying and seeking appropriate treatment.
Epidermoid Cysts
Epidermoid cysts are among the most common types found on the back. These slow-growing, benign cysts are typically caused by a buildup of keratin under the skin.
Characteristics of epidermoid cysts include:
- Skin-colored, tan, or yellowish appearance
- Filled with thick, cheese-like material
- May become inflamed or infected, leading to redness and pain
Sebaceous Cysts
Sebaceous cysts often develop on the back, neck, or torso. They’re usually caused by trauma or damage to the sebaceous glands.
Key features of sebaceous cysts:
- Noncancerous and slow-growing
- Can cause pressure and pain if they grow large
- May result from cuts or surgical wounds
Pilar Cysts
While pilar cysts are most commonly found on the scalp, they can occasionally appear on the back. These cysts are caused by protein buildup in hair follicles.
Distinguishing features of pilar cysts:
- Smooth, firm, and round
- Typically painless
- Slow-growing
Causes and Risk Factors for Back Cysts
Understanding the underlying causes and risk factors for back cysts can help in prevention and early detection. While the exact cause may vary depending on the type of cyst, several common factors contribute to their development.
Genetic Predisposition
Some individuals may be genetically predisposed to developing certain types of cysts. This genetic susceptibility can increase the likelihood of cyst formation, particularly in the case of epidermoid and pilar cysts.
Hormonal Imbalances
Hormonal fluctuations can play a significant role in cyst development. This is especially true for sebaceous cysts, which are influenced by the activity of sebaceous glands. Hormonal changes during puberty, pregnancy, or menopause may increase the risk of cyst formation.
Trauma or Injury
Physical trauma or injury to the skin can sometimes lead to cyst formation. This can include:
- Cuts or scrapes
- Surgical incisions
- Repeated friction or pressure on a specific area
Blocked Ducts or Follicles
When hair follicles or skin ducts become clogged with oil, dead skin cells, or other debris, it can lead to the formation of cysts. This is a common cause of epidermoid and sebaceous cysts.
Infections
Bacterial or fungal infections can sometimes trigger the formation of cysts. While not all cysts are caused by infections, some may develop as a result of the body’s inflammatory response to pathogens.
Diagnosing Large Cysts on the Back
Accurate diagnosis is crucial for determining the appropriate treatment for back cysts. Healthcare professionals employ various methods to identify and characterize cysts.
Physical Examination
A thorough physical examination is typically the first step in diagnosing a back cyst. During this examination, the healthcare provider will:
- Inspect the cyst visually
- Palpate the area to assess size, consistency, and mobility
- Check for signs of inflammation or infection
Imaging Tests
In some cases, imaging tests may be necessary to get a clearer picture of the cyst and its surrounding tissues. Common imaging techniques include:
- Ultrasound: Uses sound waves to create detailed images of soft tissues
- MRI (Magnetic Resonance Imaging): Provides high-resolution images of soft tissues and can help differentiate cysts from other types of growths
- CT (Computed Tomography) scan: Offers detailed cross-sectional images of the affected area
Biopsy
If there’s any concern about the nature of the cyst, a biopsy may be performed. This involves taking a small sample of the cyst’s contents or wall for laboratory analysis. A biopsy can help:
- Confirm the diagnosis
- Rule out malignancy
- Identify any underlying infections
Treatment Options for Large Back Cysts
The treatment approach for large back cysts depends on various factors, including the type of cyst, its size, location, and whether it’s causing any symptoms or complications. Here are some common treatment options:
Watchful Waiting
For small, asymptomatic cysts that aren’t causing any discomfort or cosmetic concerns, a healthcare provider might recommend watchful waiting. This involves monitoring the cyst over time to ensure it doesn’t grow or become problematic.
Drainage
Draining a cyst involves making a small incision and removing its contents. While this can provide immediate relief, it’s important to note that:
- The cyst may recur if the entire sac isn’t removed
- There’s a risk of infection
- It’s typically a temporary solution
Surgical Excision
For large or recurrent cysts, surgical excision is often the most effective treatment. This procedure involves:
- Making an incision over the cyst
- Carefully separating the cyst from surrounding tissues
- Removing the entire cyst, including its wall
- Closing the incision with sutures
Surgical excision offers the best chance of preventing recurrence but may leave a small scar.
Laser Therapy
In some cases, laser therapy can be used to treat certain types of cysts. This minimally invasive approach can be effective for smaller cysts and may result in less scarring compared to traditional surgery.
Medication
While medications don’t typically cure cysts, they may be prescribed to manage symptoms or address underlying issues:
- Antibiotics: For infected cysts
- Anti-inflammatory drugs: To reduce swelling and pain
- Corticosteroid injections: To shrink cysts in some cases
Preventing Large Cysts on the Back
While it’s not always possible to prevent cysts entirely, there are several steps you can take to reduce your risk of developing large cysts on your back:
Maintain Good Skin Hygiene
Keeping your skin clean and well-moisturized can help prevent the blockage of pores and hair follicles, which often leads to cyst formation. Consider these practices:
- Use gentle, non-comedogenic cleansers
- Shower after sweating heavily
- Avoid harsh scrubs or exfoliants that can irritate the skin
Avoid Tight Clothing
Wearing loose-fitting, breathable clothing can help reduce friction and pressure on your back, potentially lowering the risk of cyst development.
Manage Underlying Conditions
If you have a condition that increases your risk of cysts, such as acne or hormonal imbalances, work with your healthcare provider to manage these effectively.
Protect Your Skin from Trauma
Since skin injuries can sometimes lead to cyst formation, take steps to protect your back from cuts, scrapes, and other forms of trauma.
Regular Skin Checks
Perform regular self-examinations of your skin, including your back (with the help of a mirror or a partner). Early detection of small cysts can prevent them from growing larger and becoming more problematic.
When to Seek Medical Attention for Back Cysts
While many cysts are harmless and may not require treatment, there are certain situations where medical attention is necessary. Be aware of the following signs and symptoms that warrant a visit to your healthcare provider:
Rapid Growth
If you notice that a cyst on your back is growing rapidly, it’s important to have it evaluated. Rapid growth could indicate:
- An infection
- A more serious underlying condition
- The need for prompt treatment to prevent complications
Pain or Discomfort
While some cysts may cause mild discomfort, severe or persistent pain should be addressed by a medical professional. Pain could signify:
- Infection
- Inflammation
- Pressure on surrounding tissues
Signs of Infection
If you observe any of the following signs of infection, seek medical attention promptly:
- Redness or warmth around the cyst
- Swelling
- Discharge of pus
- Fever
Changes in Appearance
Any significant changes in the appearance of a cyst should be evaluated. This includes:
- Changes in color
- Development of irregular borders
- Bleeding or ulceration
Interference with Daily Activities
If a cyst on your back is large enough to interfere with your daily activities or causes discomfort when sitting or lying down, it’s time to consult a healthcare provider.
Living with Back Cysts: Management and Quality of Life
While back cysts can be bothersome, there are several strategies to manage them effectively and maintain a good quality of life:
Emotional Impact
Large cysts on the back can sometimes affect self-esteem or body image. If you’re struggling with these feelings, consider:
- Talking to a therapist or counselor
- Joining support groups for individuals with skin conditions
- Focusing on overall health and wellness
Clothing Choices
Selecting appropriate clothing can help manage discomfort and minimize the visibility of back cysts:
- Choose loose-fitting, breathable fabrics
- Consider layering to camouflage any visible lumps
- Opt for darker colors or patterns if you’re concerned about visibility
Pain Management
For cysts that cause discomfort, there are several at-home pain management techniques:
- Applying warm compresses to reduce inflammation
- Using over-the-counter pain relievers as directed
- Practicing gentle stretching exercises to alleviate pressure
Regular Follow-ups
Even if your cysts don’t require immediate treatment, it’s important to monitor them and attend regular check-ups with your healthcare provider. This allows for:
- Early detection of any changes
- Adjustment of treatment plans as needed
- Peace of mind about your overall health
Lifestyle Modifications
Certain lifestyle changes can help manage back cysts and prevent new ones from forming:
- Maintaining a healthy diet rich in vitamins and minerals
- Staying hydrated to support skin health
- Managing stress through relaxation techniques or exercise
- Avoiding activities that put excessive pressure on the affected area
By understanding the nature of back cysts, their causes, and available treatments, individuals can effectively manage this condition and maintain a high quality of life. Remember that while cysts are often benign, any concerns should be addressed with a healthcare professional to ensure proper care and peace of mind.
Pictures, Causes, Types, Treatments, and Prevention
A cyst is a small pocket of tissue filled with air, fluid or other substances. Cyst maybe caused by genetics, inflammation, infection or other issues. They are usually benign but may need treatment if complications arise.
A cyst is a sac-like pocket of membranous tissue that contains fluid, air, or other substances. Cysts can grow almost anywhere in your body or under your skin.
There are many types of cysts. Most cysts are benign, or noncancerous.
Whether a cyst needs treatment depends on a number of factors, including:
- the type of cyst
- the location of the cyst
- if the cyst is causing pain or discomfort
- whether the cyst is inflamed or infected
If you’re not sure if you have a skin condition, you can take a picture and send it to an online dermatologist.
Cysts can vary in appearance depending on their type and location. Here are 11 types of cysts.
Warning: Graphic images ahead.
Epidermoid cyst
- An epidermoid cyst is a small, slow growing, benign cyst most commonly found on the face, head, neck, back, or genitals.
- It’s usually caused by a buildup of keratin under the skin.
- It looks like a skin-colored, tan, or yellowish bump filled with thick material.
- It may become swollen, red, or painful if it’s inflamed or infected.
Read more about epidermoid cysts.
Sebaceous cyst
Share on PinterestPhotography courtesy of Klaus D. Peter, Wiehl, Germany/Wikimedia Commons
- A sebaceous cyst is found on the face, neck, or torso.
- It’s usually caused by trauma or damage to the sebaceous glands, such as from cuts or surgical wounds.
- A large cyst may cause pressure and pain.
- It’s noncancerous and very slow growing.
Read more about sebaceous cysts.
Breast cyst
Share on PinterestPhotography courtesy of Nevit Dilmen/Wikimedia Commons
- Most breast lumps (such as cysts) are noncancerous, but there are many possible causes for a lump in your breast.
- Instead of performing a breast self-exam, it’s important to be familiar with how your breasts typically feel so you’re aware of changes. This way, you’re more likely to notice changes right away.
- You should make an appointment to see a healthcare professional if:
- you discover a new lump
- an area of your breast is noticeably different than the rest
- a lump changes or grows larger
- you notice unexpected discharge from the nipple
- you have an inverted nipple, and it wasn’t always inverted
Read more about breast lumps.
Ganglion cyst
- A ganglion cyst is a round, gel-filled lump of tissue that usually appears along tendons or joints, especially in the hands, wrists, ankles, and feet.
- Fluid accumulation can occur due to injury, trauma, or overuse, but often the cause is unknown.
- A ganglion cyst is common, harmless, and doesn’t cause pain or problems unless it grows and puts pressure on other structures.
Read more about ganglion cysts.
Pilonidal cyst
- A pilonidal cyst is a common skin condition that forms in the cleft at the top of the buttocks. It typically occurs after puberty.
- It’s believed to be caused by a combination of changing hormones, hair growth, and friction from clothes or from spending a long time sitting.
- It consists of a small hole or tunnel in the skin that may become infected and fill with fluid or pus.
- Signs of an infection include:
- pain when sitting or standing
- red or sore skin around the area
- pus or blood draining from the abscess, causing a foul odor
- swelling of the cyst
- hair protruding from the lesion
Read more about pilonidal cysts.
Ovarian cyst
- Ovarian cysts are fluid-filled sacs that develop on one or both of the ovaries.
- They may develop as a normal part of the reproductive cycle or be pathologic.
- They may be asymptomatic or painful.
- Symptoms include:
- abdominal bloating or swelling
- painful bowel movements
- pelvic pain before or during the menstrual cycle
- painful intercourse
- pain in the lower back or thighs
- breast tenderness
- nausea
- vomiting
- Severe symptoms such as sudden, sharp pelvic pain, fever, faintness, or dizziness are signs of cyst rupture or ovarian torsion.
Read more about ovarian cysts.
Baker’s (popliteal) cyst
- A Baker’s cyst is a fluid-filled swelling that causes a lump at the back of the knee.
- This condition is due to a problem that affects the knee joint, such as arthritis, inflammation from repetitive stress, or a cartilage injury.
- Symptoms include:
- mild to severe pain
- tightness
- limited range of motion
- swelling behind the knee
- bruising on the knee and calf
- rupturing of the cyst
- A Baker’s cyst often doesn’t need treatment and will go away on its own.
Read more about Baker’s cysts.
Pilar cyst
- A pilar cyst is a noncancerous, skin-colored, round bump that develops under the surface of the skin. It’s usually located on the scalp.
- This type of cyst is caused by protein buildup in a hair follicle.
- It’s painless, firm, smooth, and slow growing.
Read more about pilar cysts.
Mucous cyst
- A mucous cyst is a fluid-filled swelling that occurs on the lip or the mouth.
- It develops when the mouth’s salivary glands become plugged with mucus.
- It’s commonly caused by trauma to the oral cavity, such as lip biting, piercings, and salivary gland disruption.
- Mucous cysts are small, soft nodules that are pinkish or bluish.
Read more about mucous cysts.
Branchial cleft cyst
Photography by BigBill58/Wikimedia Commons
- A branchial cleft cyst is a type of developmental irregularity in which a lump develops on one or both sides of the neck or below the collarbone.
- It occurs during embryonic development when tissues in the neck and collarbone, or branchial cleft, develop differently.
- In most cases, a branchial cleft cyst isn’t dangerous. However, it may cause skin irritation, skin infection, or — in very rare adult cases — cancer.
- Symptoms in children include:
- a dimple, lump, or skin tag on the neck, upper shoulder, or slightly below the collarbone
- fluid draining from the neck
- Children and adults may experience swelling or tenderness that usually occurs with an upper respiratory infection.
Read more about branchial cleft cysts.
Perineural (Tarlov) cyst
- A perineural cyst is a fluid-filled sac that forms on the spine.
- Causes are unknown, but it may result from back trauma. Types of trauma associated with this cyst include falls, injuries, and heavy exertion.
- Symptoms are rare. In these cases, it may cause pain in the lower back, buttocks, or legs.
Read more about perineural cysts.
A pseudocyst shares some of the characteristics of a cyst, but the bump doesn’t have its own lining. Here are three types of pseudocysts.
Folliculitis (ingrown hair cyst)
- Folliculitis describes a category of skin conditions that cause inflammation in a hair follicle and are usually infectious.
- Ingrown hair cysts are a type of folliculitis. They start off as hairs that grow down or sideways instead of out, becoming ingrown.
- Folliculitis is common among people who shave, wax, or use other methods to remove hair.
- Folliculitis appears as pimple-like bumps under the skin that may be red, white, or yellow, with or without a central visible hair.
- Bumps that appear near an ingrown hair are more likely to be pseudofolliculitis barbae (razor bumps) than ingrown hair cysts.
- Ingrown hair cysts may become infected and appear red, warm, and tender to the touch.
Read more about ingrown hair cysts.
Chalazion
- A chalazion is a small, usually painless lump or swelling on your upper or lower eyelid.
- It’s caused by a blocked meibomian gland. The meibomian gland is a type of oil gland.
- It may be red, swollen, and painful if an infection is present.
Read more about chalazia.
Cystic acne
- Cystic acne is the most severe type of acne, and it develops when bumps form deep underneath your skin.
- It can result from a combination of hormone changes, bacteria, oil, and dry skin cells that get trapped in your pores.
- Cystic acne may occur on the face, chest, neck, back, and arms. Large, painful, pus-filled bumps and nodules may form, rupture, and leave scars. They may appear red or skin-colored, depending on your skin tone.
Read more about cystic acne.
A cyst can appear as a bump on your skin. It may also feel like a small lump if it’s growing just under your skin.
Some cysts grow deep inside your body where you can’t feel them. However, they may cause or be related to other symptoms.
For example, ovarian cysts, such as those that result from polycystic ovary syndrome (PCOS), may cause problems with ovarian and reproductive function. Polycystic kidney disease (PKD), which causes cysts to form in the kidney, can adversely affect kidney function.
Cysts usually grow slowly and have a smooth surface. They can be tiny or very large.
Most cysts aren’t painful. They usually don’t cause problems unless they’re:
- infected
- very large
- impinging on a nerve or blood vessel
- growing in a sensitive area
- affecting the function of an organ
Cysts and pseudocysts form for different reasons. They can be caused by:
- infections
- inherited diseases
- genetics
- chronic inflammation
- blockages in ducts
The exact cause depends on the type of cyst or pseudocyst.
There are hundreds of different types of cysts and pseudocysts. They can grow almost anywhere in your body.
Some cysts occur as part of another condition, such as PCOS or PKD. Some of the more common types of cysts and pseudocysts include the following:
Epidermoid cyst
These are small, benign bumps filled with the protein keratin. If you have trauma around a hair follicle within the skin, an epidermoid cyst may occur.
If part of the top layer of your skin, called the epidermis, grows deeper instead of moving outward toward the surface to eventually be shed off, an epidermoid cyst will have a chance to form.
In rare cases, epidermoid cysts can be caused by an inherited condition called Gardner’s syndrome.
Sebaceous cyst
Sebaceous cysts fill with sebum and are less common than epidermoid cysts. They often form within sebaceous glands, which are part of the skin and hair follicles.
Sebaceous glands make oil for your skin and hair. Ruptured or blocked sebaceous glands can lead to sebaceous cysts.
Breast cyst
Benign cysts can develop in your breasts when fluid collects near your breast glands. They can cause pain or tenderness in the affected area.
They commonly occur in female breast tissue in those in their 30s and 40s.
Ganglion cyst
These benign cysts usually form near the joint areas of your wrist or hand. However, they can also develop in your feet or ankle areas. The reason they form isn’t known.
Ganglion cysts tend to occur along a tendon sheath near a joint. They’re more common in women than in men.
Pilonidal cyst
Pilonidal cysts form near the top part of the buttocks. They’re usually filled with skin debris, body oils, hair, and other matter.
They occur more often in men than in women. They can develop when loose hairs become embedded in your skin.
Chronic infections in these cysts might increase your risk of a type of skin cancer called squamous cell carcinoma. If you have these chronic infections, learn the symptoms of skin cancer so it can be treated early.
Ovarian cyst
Ovarian cysts often form when the follicle that normally releases an egg doesn’t open. This causes fluid to build up and form a cyst.
Another common type of ovarian cyst occurs after the follicle releases the egg and improperly recloses and collects fluid.
Ovarian cysts occur most often in those of menstrual age. They’re usually found during pelvic exams.
Ovarian cysts are associated with an increased risk of cancer when they occur after menopause.
Baker’s (popliteal) cyst
A Baker’s cyst, also known as a popliteal cyst, is a fluid-filled cyst that forms at the back of the knee.
These cysts are usually caused by problems with the knee, such as injury or arthritis. Mobility can be limited and painful with a Baker’s cyst.
Physical therapy, fluid draining, and medication can all be used to help treat a Baker’s cyst.
Pilar cyst
Pilar cysts are skin-colored, benign lumps that form on the skin’s surface. They’re not cancerous, but they can grow to a size that can be uncomfortable.
Removal is typically not necessary, but they can be removed for cosmetic purposes.
Mucous cyst
A mucous cyst is a fluid-filled lump that forms on the lip or around the mouth when the salivary glands become plugged with mucus. The most common causes of mucous cysts include:
- lip or cheek biting
- lip piercings
- rupture of the salivary gland
- improper dental hygiene
Mucous cysts will often go away on their own. However, if you have recurring or frequent mucous cysts, you may need medical treatment.
Branchial cleft cyst
Branchial cleft cysts are a type of developmental irregularity that causes a lump on an infant’s neck or below the collarbone. This cyst can look like a large skin tag.
Healthcare professionals usually recommend surgical removal to prevent future infection.
Perineural (Tarlov) cyst
A perineural cyst is a fluid-filled sac that forms on the spine.
Most people won’t have symptoms, so they won’t need treatment. If you do have symptoms, draining the fluid can help to relieve them.
Chalazion
Chalazia are benign pseudocysts that occur on your eyelids when the duct of the meibomian gland, an oil gland, is blocked.
These pseudocysts can cause tenderness, blurred vision, and painful swelling. If they get too big, they can cause vision problems.
Cystic acne
Cystic acne results from a combination of bacteria, oil, and dead skin clogging the pores. It’s the most severe type of acne, but it usually improves with age.
Cystic acne can look like large, pus-filled boils on the skin. It can also be painful to the touch.
If you believe you may have cystic acne, your dermatologist can prescribe medications to help treat it.
Folliculitis (ingrown hair cyst)
Folliculitis is an inflammatory and usually infectious condition. It can form when a hair grows into the skin and a pseudocyst forms near it.
These pseudocysts are often seen in people who use hair removal methods like shaving or waxing. Ingrown hair cysts are an example of folliculitis.
While ingrown hair cysts are possible, if you have bumps that appear near ingrown hairs, there’s a good chance that they’re actually razor bumps instead.
Razor bumps are also known as pseudofolliculitis barbae, which is a type of pseudofolliculitis. Unlike folliculitis, pseudofolliculitis isn’t usually infectious.
Most of the time, medical care isn’t needed to treat folliculitis or razor bumps. However, see a healthcare professional if you suspect the ingrown hair cyst or razor bump is infected.
Schedule an appointment with a healthcare professional if your cyst becomes very painful or inflamed. This could be a sign of a rupture or an infection.
They should check your cyst even if it isn’t causing any pain or other problems. Differences in these growths can be a symptom of cancer. A healthcare professional may want to remove a tissue sample for testing.
You should never try to squeeze or pop a cyst or pseudocyst yourself. This can lead to infection.
In some cases, they improve on their own. Putting a warm compress on a cyst can speed up the healing process by helping it drain.
In other cases, medical care is required.
Medical care
Common methods of medical treatment for cysts include a healthcare professional:
- using a needle to drain fluids and other matter from the cyst
- giving you medications, such as a corticosteroid injection, to reduce inflammation in the cyst
- performing surgical removal of the cyst, which may be done if draining doesn’t work or if you have an internal cyst that’s hard to reach and requires treatment
If you’re concerned about your cyst and don’t have an established relationship with a healthcare professional, you can view doctors in your area through the Healthline FindCare tool.
Benign cysts and pseudocysts usually don’t cause long-term problems. Sometimes they even go away on their own.
Cysts can refill after being drained. If you have a cyst that continues to refill, you may want to consider having it surgically removed.
If you have cancerous cysts, your healthcare professional will discuss treatment with you. The outlook will vary depending on the type of cancer involved.
Most types of cysts and pseudocysts can’t be prevented. However, there are a few exceptions.
Those prone to ovarian cysts may be able to prevent new cysts from forming by using hormonal contraceptives.
You can prevent pilonidal cysts from forming by keeping the skin in the affected area clean and dry. Getting up every so often instead of sitting for a long time can also help prevent these cysts.
Cleaning your eyelid near the eyelash line with a gentle cleanser can help keep the oil ducts from becoming blocked. This may help prevent chalazia.
Read this article in Spanish.
Epidermoid Cyst: Causes, Diagnosis, and Treatments
Epidermoid Cyst: Causes, Diagnosis, and Treatments
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Medically reviewed by Owen Kramer, M. D. — By Amber Erickson Gabbey — Updated on February 4, 2020
Epidermoid cysts are small, noncancerous lumps that develop under the skin. They are typically painless and do not lead to complications.
Epidermoid cysts are often found on the head, neck, back, or genitals. They range in size from very small (millimeters) to inches across. They look like a small bump, and the overlying skin can be skin-colored, whitish, or yellowish in color.
They’re filled with cheesy-like, white keratin debris. They’re typically painless. Although, they can become inflamed and irritated. They don’t require removal unless bothersome or the diagnosis is in question.
Buildup of trapped keratin usually causes epidermoid cysts. Keratin is a protein that occurs naturally in skin cells. Cysts develop when the protein is trapped below the skin because of disruption to the skin or to a hair follicle.
These cysts may develop for a number of reasons, but trauma to the skin is typically thought to be the main cause. When numerous, an underlying genetic disorder such as Gardner syndrome may be the cause.
To diagnose epidermoid cysts, your healthcare provider will examine the bump and surrounding skin, as well as request your medical history. They’ll ask for details on how long the bump has been present and whether it has changed over time.
Healthcare providers can usually diagnose an epidermoid cyst by examination only, but sometimes an ultrasound or a referral to a dermatologist is needed to confirm the diagnosis.
Epidermoid cysts typically don’t go away completely on their own, although they may shrink to an unnoticeable size and then grow again. Thus, a dermatologist’s surgical intervention is needed to resolve the condition.
Since epidermoid cysts aren’t dangerous, they don’t pose a health risk. Many are never treated.
If the cyst becomes red, swollen, or painful, changes in size or character, or becomes infected, treatment may be desired. In such cases, treatment options typically include antibiotics. Sometimes the cyst may also be drained or injected with a steroid solution.
If you want complete resolution of the cyst, you’ll typically need to have it surgically removed. Usually, this is delayed to a later date if the cyst is currently inflamed.
In almost all cases, epidermoid cysts cause no long-term problems, although they can be associated with genetic diseases that may have medical consequences.
Squeezing out the contents of the cyst on your own can lead to inflammation and/or infection, so it’s best to leave the cyst alone. It can also lead to scarring around the cyst, which can make removal very difficult and result in larger surgical scars.
Once a cyst is drained, it’s very possible that the cyst will grow back. If there’s any significant change in a cyst, it’s recommended that you see your healthcare provider.
Last medically reviewed on February 4, 2020
How we reviewed this article:
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
- Hoang VT, et al. (2019). Overview of epidermoid cyst. DOI:
10.1016/j.ejro.2019.08.003 - Mayo Clinic Staff. (2018). Epidermoid cysts (sebaceous cysts).
mayoclinic.org/diseases-conditions/sebaceous-cysts/symptoms-causes/syc-20352701 - Oakley A. (2016). Cutaneous cysts and pseudocysts.
dermnetnz.org/topics/cutaneous-cysts-and-pseudocysts/ - Wollina U, et al. (2018). Epidermoid cysts: A wide spectrum of clinical presentation and successful treatment by surgery: A retrospective 10-year analysis and literature review. DOI:
10.3889/oamjms.2018.027
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Feb 4, 2020
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Medically reviewed by Owen Kramer, M. D. — By Amber Erickson Gabbey — Updated on February 4, 2020
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Spinal cyst in the lumbosacral region – symptoms, causes, treatment
This disease is treated by a neurologist.
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A cyst in the spine is a rare pathology characterized by the appearance of a neoplasm with liquid hemorrhagic or cerebrospinal fluid contents. With a small size, it is asymptomatic, it is detected by chance during MRI diagnostics. Large cysts provoke compression of the nerve roots, blood vessels, which leads to the appearance of chronic pain, circulatory disorders. A vertebrologist and a neurologist are engaged in conservative treatment, and a neurosurgeon is involved in surgical treatment.
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Bulatsky S.O.
Orthopedist • Traumatologist • experience 16 years
Publication date: July 16, 2021
Verification date: January 19, 2023
All facts have been verified by a doctor.
Contents of the article
Causes
Symptoms
Classification and types of spinal cysts
How to diagnose
Research in CMRT clinics
Which doctor to contact
Mamaeva Lidia Semyonovna
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Suleymanov Kurban Abbas-Ogly
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Satieva Marina Garunovna
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How to treat a spinal cyst
Popular treatments
Rehabilitation after treatment
Consequences
Prevention
Treatment and rehabilitation in CMRC clinics
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Treatment of a spinal cyst in Moscow at the Dikul clinic: prices, appointments
A spinal cyst is a cavity filled with fluid (hemorrhagic, cerebrospinal fluid, etc.). Cystic formations in the spine are a fairly rare pathology, and the cyst can be located in any of its departments (from the cervical to the lumbosacral). A spinal cyst may be asymptomatic and can often be diagnosed incidentally or present with only chronic dull pain. Treatment of a spinal cyst depends on the location of the cyst, its size, and the degree of impact on nearby structures.
Varieties of spinal cysts
By origin, spinal cysts are divided into:
- congenital,
- purchased.
Depending on the morphological features (wall structure), the cyst can be:
- true (there is an epithelial lining inside the cystic formation)
- false (no epithelial lining)
- Ganglionic. Such a formation does not have a synovial membrane inside the cavity layer of endothelial cells. As the tumor grows, it gradually separates from the bone.
- Periarticular cyst.
The size, location and shape of a spinal cyst varies depending on the genesis of the formation.
Spinal cysts are subdivided into morphological types:
Periarticular cyst of the spine is formed in the area of the intervertebral (facet) joints. Often formed due to trauma or degenerative disorders (in older people). Most often, it is formed in the facet joints of the lumbar and thoracic spine. Once formed, the periarticular cyst extends beyond the facet joint cavity. Periarticular cyst of the spine is the cause of radicular syndrome in almost 1% of cases. Depending on the presence of synovial epithelium, the periarticular cyst is divided into: ganglionic and synovial.
Perineural cyst of the spine.
Perineural cyst of the spine is found in almost 7% of all cystic formations. Often this cyst has a congenital origin, due to a violation of the development of the spine in the embryonic period – in the lumen of the spinal canal, there is some protrusion of the spinal cord. If this is a small protrusion, then it does not manifest itself clinically. If the protrusion is large, then compression of the spinal nerves occurs with the corresponding symptoms, which can appear already in childhood.
Aneurysmal cyst.
An aneurysmal cyst of the spine is a cavity formation inside the bone tissue of the vertebra, which gradually increases and is filled with venous blood. This serious pathology is quite rare, associated with tumor-like diseases and often leads to severe vertebral fractures. The cyst develops more often in childhood, mainly in girls. An aneurysmal cyst is usually caused by trauma.
Arachnoid cyst. Arachnoid cyst of the spine (Tarlov’s cyst) is a cavity formation, the walls of which are lined with the arachnoid membrane of the spinal cord. With dimensions of more than 15 mm, it can have a compressive effect on the nerve roots and spinal cord, which will manifest itself with characteristic symptoms.
Spinal cerebrospinal fluid cyst
Spinal cerebrospinal fluid cyst is a cavity that contains cerebrospinal fluid, the fluid that circulates in the space of the spinal cord. Clinically, a CSF cyst will manifest itself depending on the level of its location in the spine, and neurological deficit below the level of cyst localization.
Cysts in the lumbar and sacral region. With small sizes, they do not manifest themselves clinically. With an increase in size, symptoms and a functional neurological deficit occur, depending on which root is compressed.
Causes
Causes of formation of spinal cysts are diverse:
- For congenital cysts of the spine – disorders in the development of tissues in the fetus.
For acquired tumors:
- degenerative-dystrophic processes in the tissues of the spine,
- spinal injury (bruises, fractures),
- excessive, disproportionate loads on motor segments (including those caused by the type of activity),
- sedentary lifestyle, which leads to the development of dystrophic changes in the tissues of the spine,
- bleeding in the tissues of the spine,
- parasitic injury (eg echinococcosis).
Symptoms
The symptoms of spinal cysts depend on the cause, size and location. Small tumors usually do not show up at all and are found incidentally during examination for other diseases. As the disease progresses, the size of the cyst increases and it begins to put pressure on the spinal roots. And as a result:
- Neurological disorders of varying severity are detected.
- There is pain located in the area of the projection of the tumor. Perhaps the spread of pain in the buttocks, lower limbs and other parts of the body.
- Pain in the spine is felt both at rest and during movement.
- Possible headache and dizziness, tinnitus (such symptoms are most often associated with arachnoid cysts).
- Sensory disturbances (pins and needles, tingling, numbness of hands and/or feet, fingers).
- Impaired bowel and bladder function may result from compression of the associated spinal roots.
- As the cyst progresses, muscle weakness may develop in the lower extremities, which can lead to lameness. It becomes difficult for the patient to remain in a sitting position for a long time.
- Paresis of the arms or legs.
- Vestibular disorders
Pain that appears during movement, after prolonged sitting and is localized at the site of projection of the cyst in the spine. According to the degree of intensity, the pain can be severe or weak.
Diagnosis of a cyst of the spine
Diagnosis of a cyst of the spine is based on a comprehensive examination.
- Patient complaints
- Anamnesis (medical history).
- General examination assessment of neurological deficit, severity and localization of pain, sensory and motor activity disorders, etc.
Research methods:
- Radiography
- MRI
- CT (MSCT)
- Spinal ultrasound
- CT myelography
- ENMG – used to evaluate nerve conduction disorders
- General clinical methods
Treatment of a spinal cyst
Treatment of a spinal cyst is complex and is aimed at alleviating the condition and preventing the risk of serious complications. Treatment of spinal cysts can be either conservative or surgical. Conservative treatment is possible with small cysts, in the absence of severe pain and without impaired function of internal organs.
Conservative treatment of spinal cysts includes:
- Bed rest.
- Balanced diet with enough vitamins, proteins, micro and macro elements.
Drug treatment
- Prescription of analgesics and anti-inflammatory drugs.
- Appointment of B vitamins (improvement of metabolic processes in the cell) and vitamin C (strengthens blood vessels and improves immunity).
- Use of drugs to improve microcirculation
- The use of drugs that reduce degenerative-dystrophic processes in bone and cartilage tissue (chondroprotectors).
Blockades . Perhaps the appointment of a therapeutic blockade is the introduction of anesthetics (novocaine, lidocaine) to the place where the pain is most pronounced, the so-called trigger points, or the introduction of an anesthetic into the epidural space (epidural blockade). Possible blockade with the combined use of an anesthetic and a corticosteroid drug (Cortizone, Diprospan).
Physiotherapy
Exercise therapy. Therapeutic exercises begin with a minimum load and under the strict supervision of a physician. Exercise therapy is carried out after the elimination of acute pain syndrome and allows you to strengthen the muscles of the back and stabilize the spine.
Acupuncture (acupuncture, electroacupuncture, laser therapy).
Corsetting. In certain cases, short-term wearing of various corsets is indicated. They limit the range of motion, reduce pain and muscle spasm.
Surgical removal of a spinal cyst
Surgical treatment of a spinal cyst is performed to eliminate compression of the roots and spinal cord, improve blood circulation, restore impaired sensitivity and motor activity, as well as dysfunction of internal organs. And, as a result, surgical treatment of spinal cysts helps to prevent disability and restore working capacity as much as possible.
Large tumors are usually removed. The volume and type of surgical intervention is determined by the neurosurgeon after the diagnosis is made. Usually the tumor is removed by puncture or completely cut out with all its walls.
Surgery to remove a spinal cyst can be performed using endoscopic methods or under X-ray or CT guidance, which significantly reduces the risk of postoperative complications.
Prevention
Prevention of spinal cysts is non-specific and consists of the following.
- Balanced diet with a sufficient content of micro and macro elements, protein, vitamins.
- Minimize the risk of injury and bruising (injury sports are not recommended).
- Avoid strenuous physical activity such as heavy lifting. Evenly distribute the load throughout the body.
- Engage in physical activities such as swimming, walking, therapeutic exercises.
- Monitor weight.
- Eliminate bad habits .
- Regularly monitor the presence of parasites in the body
- Periodically conduct preventive examinations
Forecast
The prognosis of a cyst of the spine, with a small size and clinically not manifesting itself, is favorable both for life and for work.