ROJoson PEP Talk: Epidermal Cysts in Skin

1. EPIDERMAL
CYSTS IN SKIN
October 07, 2023
1400H - 1500H
Via Zoom
Empowerment
objective - for
laypeople to have an
essential
understanding of
EPIDERMAL CYSTS in
their health
management.

2. EPIDERMAL
CYSTS IN SKIN
October 07, 2023
1400H - 1500H
Via Zoom
Empowerment
objective - for
laypeople to have an
essential
understanding of
EPIDERMAL CYSTS in
their health
management.
Welcome all!
MUTE yourself but always
show your video picture.
Sign in your name, FB
account, or email address in
the Chat Box! Include names
of companions attending.
Use the Chat Box to ask
questions and make
comments while the PEP TALK
is on.
There will be group pictures
at start and end of PEP TALK –
show your face in video.

3. Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.

4. Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation

5. EPIDERMAL
CYSTS IN SKIN
Empowerment
objective - for
laypeople to have an
essential
understanding of
EPIDERMAL CYSTS in
their health
management.
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!

6. EPIDERMAL
CYSTS IN SKIN
Empowerment
objective - for
laypeople to have an
essential
understanding of
EPIDERMAL CYSTS in
their health
management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START PEP TALK
PROPER IN 2
MINUTES!
Pls. turn on your
video!
Show your face!

7. EPIDERMAL
CYSTS IN SKIN
Empowerment
objective - for
laypeople to have an
essential
understanding of
EPIDERMAL CYSTS in
their health
management.
ROJoson PEP Talk
I have a Patient
Empowerment
Program in which I
like to empower the
lay people or
patients to take
control in the
management of
their health.

8. I started the PEP Talk
on May 15, 2021.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.

9. From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm,
discipline and
perseverance.

10. EPIDERMAL
CYSTS IN SKIN
Empowerment
objective - for
laypeople to have an
essential
understanding of
EPIDERMAL CYSTS in
their health
management.
My PEP TALK today is
entitled:
EPIDERMAL CYSTS IN
SKIN

11. Contents
• What is an epidermal cyst in the skin?
• What is the hypothesized cause of epidermal
cysts?
• What are the differences among sebaceous
and epidermal cysts and acne?
• Where are epidermal cysts commonly located?
• What is the most common complication of
epidermal cysts if not treated?
• How to recognize and diagnose epidermal
cysts?
• What is the treatment for epidermal cysts?
• Do epidermal cysts recur after an operation?
Disclaimer:
ROJoson PEP Talk
contains ROJoson’s
Thoughts,
Perceptions,
Opinions and
Recommendations
(TPORs) culled from
experiences of other
professionals and
ROJoson.
EPIDERMAL
CYSTS IN SKIN

12. What is an epidermal cyst in the skin?
An epidermal cyst is a palpable mass
located just beneath the epidermal
layer of the skin that contains a capsule
and inside of which are cheesy, oily,
greasy keratin material (skin element).
In majority of the epidermal cysts, there
is a punctum, a dark colored point or
spot which represents a plugged
opening.
EPIDERMAL
CYSTS IN SKIN

13. What is an epidermal cyst in the skin?
An epidermal cyst is a palpable mass
located just beneath the epidermal
layer of the skin that contains a capsule
and inside of which are cheesy, oily,
greasy keratin material (skin element).
In majority of the epidermal cysts, there
is a punctum, a dark colored point or
spot which represents a plugged
opening.
EPIDERMAL
CYSTS IN SKIN

14. What is the hypothesized cause of
epidermal cysts?
Most epidermal cysts are caused
by implantation of epidermal elements
into the dermis
- when skin (epidermal) cells move
under the skin surface, or are covered
over by it instead of shedding. These
cells continue to multiply, like skin
does normally. They then form a wall
around themselves (cyst) and secrete
normal skin fluids (keratin).
EPIDERMAL
CYSTS IN SKIN

15. What is the hypothesized cause of epidermal
cyst?
EPIDERMAL
CYSTS IN SKIN

16. Terminologies Explained
Oftentimes, doctors use the phrase “sebaceous
cysts” referring to epidermal cysts which is not
correct anymore.
If the cysts contain keratin substance, then the
proper term is epidermal cysts or epidermoid
cysts or epidermal inclusion cysts (all the same).
If the cysts contain sebaceous substance, then
the proper term is sebaceous cysts.
EPIDERMAL
CYSTS IN SKIN
The term milia refers
to very small,
superficial
epidermal cysts.

17. Terminologies Explained
Acne or pimples are not the same as epidermal
cysts.
EPIDERMAL
CYSTS IN SKIN
Epidermal cyst - mass
beneath the skin with
punctum
Acne – clogged skin pores

18. Where are epidermal cysts commonly located?
Although most commonly located on the face,
neck, and trunk, epidermal cysts can form
anywhere on the body.
EPIDERMAL
CYSTS IN SKIN

19. What is the most common complication of
epidermal cysts if not treated?
INFECTION
EPIDERMAL
CYSTS IN SKIN

20. How to recognize and diagnose epidermal cysts?
Lump or mass just beneath the skin and with a
punctum. Anywhere.
EPIDERMAL
CYSTS IN SKIN

21. What is the treatment for epidermal cysts?
WATCHFUL WAITING
One can usually leave a cyst alone especially if small ~one cm (if it
doesn't cause discomfort or cosmetic problems).
INCISION AND DRAINAGE
Placing a small cut in the cyst and gently squeezes out the contents
without removing the capsule. May recur.
EXCISION
Remove the entire cyst (with the capsule). Lesser chance for recurrence.
EPIDERMAL
CYSTS IN SKIN

22. Do epidermal cysts recur after an operation?
YES, epidermal cysts often recur with incision
and drainage.
They recur less often with excision.
EPIDERMAL
CYSTS IN SKIN

23. OPERATION FOR EPIDERMAL CYST
EPIDERMAL
CYSTS IN SKIN

24. OPERATION FOR EPIDERMAL CYST
EPIDERMAL
CYSTS IN SKIN

25. OPERATION FOR EPIDERMAL CYST
EPIDERMAL
CYSTS IN SKIN

26. Epidermal Cyst - Breast

27. Epidermal Cyst - Breast
Discrete
superficial
(intradermal)
mass with an
opening
(punctum)

28. Epidermal Cyst - Breast
Discrete
superficial
(intradermal)
mass with an
opening
(punctum)
Redness
(erythema)
suggestive of
inflammation
/ infection

29. Epidermal Cyst - Breast
Discrete
superficial
(intradermal)
mass with an
opening
(punctum)
exuding pus
Redness
(erythema)
suggestive of
inflammation
/ infection

30. Epidermal Cyst - Breast
As the cyst is being
excised under local
anesthesia …..

31. Epidermal Cyst - Breast
As the cyst is
being excised
under local
anesthesia …..
After excision, showing ….
the well-encapsulated cyst
gray-white greasy contents

32. Epidermal Cyst - Breast
Epidermal cyst – not common on
the breast area
Epidermal cyst on breast area –
NOT breast cancer
Treatment of epidermal cyst on breast area – excision

33. More images of EPIDERMAL CYST
EPIDERMAL
CYSTS IN SKIN
Squeezing out the contents through the
punctum without removal of the capsule
– higher chance of recurrence.

34. More images of EPIDERMAL CYST
EPIDERMAL
CYSTS IN SKIN

35. More images of EPIDERMAL CYST
EPIDERMAL
CYSTS IN SKIN

36. More images of EPIDERMAL CYST
EPIDERMAL
CYSTS IN SKIN

37. Contents
• What is an epidermal cyst in the skin?
• What is the hypothesized cause of epidermal
cysts?
• What are the differences among sebaceous
and epidermal cysts and acne?
• Where are epidermal cysts commonly located?
• What is the most common complication of
epidermal cysts if not treated?
• How to recognize and diagnose epidermal
cysts?
• What is the treatment for epidermal cysts?
• Do epidermal cysts recur after an operation?
EPIDERMAL
CYSTS IN SKIN
Summary
Take Away

38. Be always in touch with reliable medical
information on EPIDERMAL CYSTS.
Knowledge is power; it gives power.
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions /
make better decisions on EPIDERMAL
CYSTS in your health management.
Take Away in
relation to
Patient
Empowerment
EPIDERMAL
CYSTS IN SKIN

39. EPIDERMAL
CYSTS IN SKIN
Empowerment
objective - for
laypeople to have an
essential
understanding of
EPIDERMAL CYSTS in
their health
management.

40. Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.

41. Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation

42. EPIDERMAL
CYSTS IN SKIN
Empowerment
objective - for
laypeople to have an
essential
understanding of
EPIDERMAL CYSTS in
their health
management.
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!

43. Empowerment
objective - for
laypeople to have an
essential
understanding of
EPIDERMAL CYSTS in
their health
management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START Q&A AND
INTERACTIONS!
Pls. turn on your
video!
Show your face!
EPIDERMAL
CYSTS IN SKIN