When Chest Cysts Become Painful: A Dermatology Case Study in Katy & Houston, TX
At Village Dermatology, we regularly treat patients experiencing complex skin conditions, including inflamed epidermal inclusion cysts. In this case report, we highlight a 65-year-old male patient from the greater Houston area who presented with a painful, enlarging cyst on his chest — a common but often underestimated condition.
Patient Background and Initial Concerns
The patient, a 65-year-old male, came to our clinic for evaluation of a persistent cyst located on the right medial superior chest. He reported that the lesion had been present for several months but had recently become painful, enlarged, and inflamed, prompting his visit. The patient had no history of treatment and initially hoped for conservative options like hot compresses.
Clinical Examination and Diagnosis
A focused dermatologic exam confirmed the presence of a painful, erythematous nodule, consistent with an inflamed epidermal inclusion cyst. These cysts often mimic infections when inflamed, displaying redness, swelling, and tenderness. Although non-cancerous, they can become acutely bothersome or infected if untreated.
Immediate Intervention: Incision and Drainage
Due to the severity of symptoms — including swelling, redness, and discomfort — a minor surgical procedure was indicated. The lesion was treated with an incision and drainage (I&D) procedure to relieve pressure and remove the contents of the cyst. Local anesthesia was administered, and the wound was carefully drained, cleaned, and dressed.
This procedure was medically necessary, as conservative measures had failed, and the condition presented signs of infection and significant discomfort.
Treatment and Medication
Following the I&D procedure, the patient was prescribed doxycycline monohydrate 100 mg to address potential underlying infection. He was counseled about:
Photosensitivity precautions: Avoiding sun exposure and using sunscreen.
Proper medication usage: Taking doxycycline with meals and avoiding lying flat for at least an hour after taking the pill.
The patient was advised to follow up in 4 weeks for potential cyst excision to prevent recurrence.
Educational Points for Patients in Katy & Houston, TX
Epidermal inclusion cysts are common in dermatology and are usually benign. However, when they become inflamed or infected, they require medical attention. Key takeaways include:
Early evaluation can prevent worsening symptoms.
Warm compresses may help initially, but infected or enlarging cysts often need intervention.
Incision and drainage is a safe, effective procedure when performed in a medical setting.
Follow-up care ensures resolution and helps prevent recurrence.
Dermatology Expertise Close to Home
At Village Dermatology, we provide expert dermatologic care to patients in Katy and Houston, Texas. If you or a loved one experiences any unusual skin growths, painful lumps, or cysts, contact our clinic for professional evaluation and treatment.
