After taking antibiotics to treat inflammation, how long do I have to wait for a pilar cyst on my scalp to get smaller before I can have surgery for it?

Doctor's Answers 1

If you have an inflamed cyst, it is advisable to see your doctor after 1 week of antibiotics to assess the condition again. There are no hard and fast rules, options of treatment can include:

1. Immediate incision and drainage of the inflamed cyst at presentation

2. Treat with antibiotics before excising the cyst 1-2 weeks later

3. Treat with antibiotics before continuing to monitor cyst, only choosing to excise if it worsens again.

Please see a doctor or Dermatologist trained in the management of inflamed cysts so that your condition can be assessed and the treatment options discussed with you. Please seek medical help as soon as possible if you have a worsening condition. Hope this helps.

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How do surgeons determine if a cyst is benign or malignant and requires removal?

Most cysts are actually benign. Malignant cysts refer to cysts that harbour cancer or those with a potential to develop into cancer. In determining whether or not they are malignant, the cysts are monitored for changes in size and consistency with regular ultrasounds. In some cases, you might also need to get an MRI. The surgeon would choose the necessary treatment based on symptoms such as: Pain Enlargement of the cyst size Presence of solid tissue within the cyst Treatment does not necesarry mean removal.

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