Large Epidermoid Cyst Excised on the Back

This sweet gentleman accompanied by his wife and sister in law is visiting family in California for the holidays, having travelled from Chicago via train! During this visit, they scheduled an appointment with me with encouragement from his wife’s other sister (Tracy, HI Tracy!!) who couldn’t be present but who is a popaholic!
He has this cyst on his back which was previously removed by a dermatologist in Illinois when it was much smaller, but it has returned and has grown bigger. Tracy has watched many of my videos on YouTube, and recommended that he see us. Thank you Tracy, for sending your family to us! We tried to take extra great care of them, they are so sweet, and we are lucky that you have heard of us! Only sorry that we couldn’t meet you as well! The power of the internet!

Many people have asked why the internal contents of this cyst as well as the cyst wall are so dark. The complete answer is “I don’t really know”. However, I DO know that I see darker cyst contents in darker-skinned individuals. Although this man’s skin is light in color, he is African American. And this makes sense, since epidermoid cysts contain macerated keratin which is essentially skin cells. Also the wall of the sac is composed of squamous epithelium (like the skin covering our body), and so if this skin is darker in pigment, I wouldn’t be surprised that the cyst wall is dark in color as well. I have seen African American patients with dark cysts and light cysts. However, I have yet to see a Caucasian with a dark cyst, though.

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This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

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