Cyst on butt cheek - what could it be and how to remove it? (Photo)

Question

It's round, about half an inch in size, and quite raised. Very soft, smooth, and squishy to the touch. Considering the location, I was thinking it's a genital wart, but it doesn't resemble the examples I've looked up on google images. What could this be, any what might be the best method of removal?

Anna Chacon, MD, FAAD · Answer

It sounds like you are describing a benign cyst, such as an epidermoid or sebaceous cyst, which are common on various parts of the body, including the buttocks. These cysts are typically soft, smooth, and can be squishy to the touch. However, it is important to have it evaluated by a healthcare professional to determine the exact nature of the lump.

Here are some possible steps and considerations for addressing this:

Consultation with a Dermatologist: Schedule an appointment with a dermatologist for an accurate diagnosis. They can examine the cyst and determine if it's benign or if further investigation is needed.

Diagnosis: A dermatologist might perform a physical examination and, if necessary, an ultrasound or biopsy to confirm the diagnosis.

Treatment Options:

Observation: If the cyst is not causing discomfort or complications, monitoring it over time might be recommended.
Incision and Drainage: If the cyst is inflamed or causing discomfort, a dermatologist might perform a simple procedure to drain its contents.
Surgical Removal: In cases where the cyst is recurrent, bothersome, or at risk of infection, a minor surgical procedure can be done to remove the entire cyst, including its wall, to prevent recurrence.
Avoid Self-Removal: It is important not to attempt to pop or remove the cyst at home, as this can lead to infection or scarring.

Follow-Up Care: Follow any post-procedure care instructions provided by your dermatologist to ensure proper healing and reduce the risk of recurrence.

Discussing these options with a dermatologist is the best way to address your concerns and determine the appropriate treatment plan. If you need any further assistance, feel free to reach out to my office.

Best regards,

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