Lumps, Bumps, and Cysts

*Practice update COVID-19

Dear patient,

 

I want to start by thanking our patients for their loyalty to our small dermatology practice.  We want to assure all of our patients that our office is open and that we have instituted multiple measures to assure your health and safety.  

 

Over two weeks ago, we took extreme measures for disinfecting the exam rooms, the front office, and waiting room.   We have eliminated the sign in sheet at the front desk.   We are asking all of our patients and vendors to wash their hands or use hand sanitizer on entering and leaving the office.   Of course, we have stopped shaking hands and giving hugs.   All of our medical personnel are using disposable gloves when touching patients.   Thankfully, our practice is small, so patients are never closer than 6 feet from each other in the waiting room.

 

As a further effort to meet the needs of our patients, we will be implementing a telemedicine option for our patients.  We are working diligently to set up a HIPAA compliant platform for this type of service.  Unfortunately, not all dermatologic conditions can be treated via telemedicine.  If you think you might have a condition that could be treated via telemedicine and are interested in this service for a future appointment, please contact the practice at 208-287-5525 to be put on an interest list.

 

We thank you for your patronage of our practice and are confident that the resilience of our community will help us limit the impact of this global health crisis.  Your health and well-being is our utmost concern. 

 

Sincerely,

 

Lindie Borton, M.D.

 

 

 

 

 

 

 

Our team of professionals and staff believe that informed patients are better equipped to make decisions regarding their health and well-being. For your personal use, we have created an extensive patient library covering an array of educational topics, which can be found on the side of each page. Browse through these diagnoses and treatments to learn more about topics of interest to you.

As always, you can contact our office to answer any questions or concerns.

There are literally hundreds of different kinds of lumps, bumps and cysts associated with the skin. Fortunately, the vast majority of these are harmless and painless. The chart below provides a guide for some of the most common forms of skin lumps, bumps and cysts.

Dermatofibromas

Characteristics

  • Red, brown or purple growth; generally benign
  • Usually found on arms and legs
  • Feels like a hard lump
  • Can be itchy, tender to the touch and sometimes painful

Treatment

  • Usually does not require treatment
  • Most common removal by surgical excision or cryotherapy (freezing it off with liquid nitrogen)

Epidermoid Cysts (Sebaceous Cysts)

Characteristics

  • Round small bumps, usually white or yellow
  • Forms from blocked oil glands in the skin
  • Most commonly appear on the face, back, neck, trunk and genitals
  • Usually benign; occasionally leads to basal or squamous cell skin cancers
  • If infected, will become red and tender
  • Can produce a thick yellow, cheese-like discharge when squeezed

Treatment

  • Antibiotics might be prescribed if there is an underlying infection
  • Dermatologist removes the discharge and the sac (capsule) that make up the walls of the cyst to prevent recurrence
  • Laser surgery may be used for sensitive areas of the skin, like the face

Folliculitis

Characteristics

  • Red pimples around areas having hair
  • Inflammation of the hair follicles
  • Caused by infection or chemical or physical irritation (e.g., shaving, fabrics)
  • Higher incidence among people with diabetes, the obese or those with compromised immune systems

Treatment

  • Topical antibiotics
  • Oral antibiotics
  • Antifungal medications
  • Eliminating the cause

Keratoacanthoma

Characteristics

  • Red, dome-shaped, thick bumps with craters in the center
  • Abnormal growth of hair cells
  • Triggered by minor skin injury such as a cut or bug bite
  • Ultraviolet radiation from sun exposure is the most common risk factor

Treatment

  • Cryotherapy (freezing off the bump with liquid nitrogen
  • Curettage (surgically cutting out or scraping off)

Keratosis Pilaris

Characteristics

  • Small, rough white or red bumps that neither itch nor hurt
  • Usually worse during winter months or when there is low humidity and the skin gets dry

Treatment

  • Usually does not require treatment
  • In most cases disappears on its own by age 30
  • Intensive moisturizing is the first line of treatment
  • For more difficult cases, use of medicated creams with urea or alpha-hydroxy acids

Lipomas

Characteristics

  • Soft fatty tissue tumors or nodules below the skin's surface
  • Usually slow growing and benign
  • Appear most commonly on the trunk, shoulders and neck
  • May be single or multiple
  • Usually painless unless putting pressure on a nerve

Treatment

  • Usually does not require treatment unless it is compressing on the surrounding tissue
  • Easy to remove via excision

Neurofibromas

Characteristics

  • Soft fleshy growths under the skin
  • Slow growing and generally benign and painless
  • Pain may indicate a need for medical attention
  • May experience an electrical shock at the touch

Treatment

  • Usually does not require treatment, particularly if it does not cause any symptoms
  • If it affects a nerve, it may be removed surgically

Skin Cysts

Characteristics

  • Closed pockets of tissue that can be filled with fluid or pus
  • Can appear anywhere on the skin
  • Smooth to the touch; feels like a pea underneath the surface
  • Slow growing and generally is painless and benign
  • Only needs attention if it becomes infected or inflamed

Treatment

  • Usually does not require treatment; often disappears on its own
  • May need to be drained by a physician
  • Inflamed cysts respond to an injection of cortisone, which causes it to shrivel