October 07, 2023

1400H - 1500H
Via Zoom

Empowerment
EPIDERMAL
objective - for
CYSTS IN SKIN
laypeople to have an
essential
understanding of
EPIDERMAL CYSTS in
their health
management.
 October 07, 2023
1400H - 1500H
Via Zoom
Welcome all!

MUTE yourself but always

EPIDERMAL Empowerment show your video picture.

CYSTS IN SKIN objective - for Sign in your name, FB

laypeople to have an account, or email address in
the Chat Box! Include names
essential of companions attending.
understanding of Use the Chat Box to ask
EPIDERMAL CYSTS in questions and make
comments while the PEP TALK
their health is on.
management.
There will be group pictures
at start and end of PEP TALK –
show your face in video.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
 ROJOSON’S REQUEST:

EPIDERMAL Empowerment FEEDBACK TO THIS

CYSTS IN SKIN objective - for PEP TALK!
laypeople to have an
essential Pls. type in your
understanding of feedback in the chat
EPIDERMAL CYSTS in box during the open
forum and before we
their health adjourn!
management.
Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
EPIDERMAL START PEP TALK
CYSTS IN SKIN objective - for
PROPER IN 2
laypeople to have an MINUTES!
essential
understanding of Pls. turn on your
EPIDERMAL CYSTS in video!
their health Show your face!
management.
 ROJoson PEP Talk
EPIDERMAL Empowerment
CYSTS IN SKIN objective - for I have a Patient
laypeople to have an Empowerment
essential Program in which I
understanding of like to empower the
EPIDERMAL CYSTS in lay people or
patients to take
their health
control in the
management. management of
their health.
I started the PEP Talk
on May 15, 2021.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm,
discipline and
perseverance.
 My PEP TALK today is
entitled:

Empowerment EPIDERMAL CYSTS IN

EPIDERMAL SKIN
CYSTS IN SKIN objective - for
laypeople to have an
essential
understanding of
EPIDERMAL CYSTS in
their health
management.
 EPIDERMAL Contents Disclaimer:
CYSTS IN SKIN • What is an epidermal cyst in the skin?
• What is the hypothesized cause of epidermal ROJoson PEP Talk
cysts? contains ROJoson’s
• What are the differences among sebaceous Thoughts,
and epidermal cysts and acne? Perceptions,
• Where are epidermal cysts commonly located? Opinions and
• What is the most common complication of Recommendations
epidermal cysts if not treated? (TPORs) culled from
• How to recognize and diagnose epidermal experiences of other
cysts? professionals and
• What is the treatment for epidermal cysts? ROJoson.
• Do epidermal cysts recur after an operation?
 EPIDERMAL What is an epidermal cyst in the skin?
CYSTS IN SKIN
An epidermal cyst is a palpable mass
located just beneath the epidermal
layer of the skin that contains a capsule
and inside of which are cheesy, oily,
greasy keratin material (skin element).
In majority of the epidermal cysts, there
is a punctum, a dark colored point or
spot which represents a plugged
opening.
 EPIDERMAL What is an epidermal cyst in the skin?
CYSTS IN SKIN
An epidermal cyst is a palpable mass
located just beneath the epidermal
layer of the skin that contains a capsule
and inside of which are cheesy, oily,
greasy keratin material (skin element).
In majority of the epidermal cysts, there
is a punctum, a dark colored point or
spot which represents a plugged
opening.
 EPIDERMAL What is the hypothesized cause of
CYSTS IN SKIN epidermal cysts?

Most epidermal cysts are caused

by implantation of epidermal elements
into the dermis
- when skin (epidermal) cells move
under the skin surface, or are covered
over by it instead of shedding. These
cells continue to multiply, like skin
does normally. They then form a wall
around themselves (cyst) and secrete
normal skin fluids (keratin).
 EPIDERMAL What is the hypothesized cause of epidermal
CYSTS IN SKIN cyst?
 EPIDERMAL Terminologies Explained The term milia refers
CYSTS IN SKIN to very small,
Oftentimes, doctors use the phrase “sebaceous superficial
cysts” referring to epidermal cysts which is not epidermal cysts.
correct anymore.

If the cysts contain keratin substance, then the

proper term is epidermal cysts or epidermoid
cysts or epidermal inclusion cysts (all the same).

If the cysts contain sebaceous substance, then

the proper term is sebaceous cysts.
 EPIDERMAL Terminologies Explained
CYSTS IN SKIN
Acne or pimples are not the same as epidermal
cysts.
Acne – clogged skin pores

Epidermal cyst - mass

beneath the skin with
punctum
 EPIDERMAL Where are epidermal cysts commonly located?
CYSTS IN SKIN
Although most commonly located on the face,
neck, and trunk, epidermal cysts can form
anywhere on the body.
 EPIDERMAL What is the most common complication of
CYSTS IN SKIN epidermal cysts if not treated?

INFECTION
 EPIDERMAL How to recognize and diagnose epidermal cysts?
CYSTS IN SKIN
Lump or mass just beneath the skin and with a
punctum. Anywhere.
 EPIDERMAL What is the treatment for epidermal cysts?
CYSTS IN SKIN
WATCHFUL WAITING
One can usually leave a cyst alone especially if small ~one cm (if it
doesn't cause discomfort or cosmetic problems).

INCISION AND DRAINAGE

Placing a small cut in the cyst and gently squeezes out the contents
without removing the capsule. May recur.

EXCISION
Remove the entire cyst (with the capsule). Lesser chance for recurrence.
 EPIDERMAL Do epidermal cysts recur after an operation?
CYSTS IN SKIN
YES, epidermal cysts often recur with incision
and drainage.

They recur less often with excision.

 EPIDERMAL OPERATION FOR EPIDERMAL CYST
CYSTS IN SKIN
 EPIDERMAL OPERATION FOR EPIDERMAL CYST
CYSTS IN SKIN
 EPIDERMAL OPERATION FOR EPIDERMAL CYST
CYSTS IN SKIN
Epidermal Cyst - Breast
Epidermal Cyst - Breast
Discrete
superficial
(intradermal)
mass with an
opening
(punctum)
Epidermal Cyst - Breast
Redness
Discrete (erythema)
superficial suggestive of
(intradermal) inflammation
mass with an / infection
opening
(punctum)
Epidermal Cyst - Breast
Redness
Discrete (erythema)
superficial suggestive of
(intradermal) inflammation
mass with an / infection
opening
(punctum)
exuding pus
Epidermal Cyst - Breast

As the cyst is being

excised under local
anesthesia …..
 Epidermal Cyst - Breast
After excision, showing ….

As the cyst is
being excised the well-encapsulated cyst
under local
anesthesia …..

gray-white greasy contents

 Epidermal Cyst - Breast
Epidermal cyst – not common on
the breast area

Epidermal cyst on breast area –

NOT breast cancer

Treatment of epidermal cyst on breast area – excision

 EPIDERMAL More images of EPIDERMAL CYST
CYSTS IN SKIN

Squeezing out the contents through the

punctum without removal of the capsule
– higher chance of recurrence.
 EPIDERMAL More images of EPIDERMAL CYST
CYSTS IN SKIN
 EPIDERMAL More images of EPIDERMAL CYST
CYSTS IN SKIN
 EPIDERMAL More images of EPIDERMAL CYST
CYSTS IN SKIN
 EPIDERMAL Contents Summary
CYSTS IN SKIN • What is an epidermal cyst in the skin? Take Away
• What is the hypothesized cause of epidermal
cysts?
• What are the differences among sebaceous
and epidermal cysts and acne?
• Where are epidermal cysts commonly located?
• What is the most common complication of
epidermal cysts if not treated?
• How to recognize and diagnose epidermal
cysts?
• What is the treatment for epidermal cysts?
• Do epidermal cysts recur after an operation?
 EPIDERMAL Be always in touch with reliable medical Take Away in
CYSTS IN SKIN information on EPIDERMAL CYSTS. relation to
Patient
Knowledge is power; it gives power. Empowerment
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions /
make better decisions on EPIDERMAL
CYSTS in your health management.
 EPIDERMAL Empowerment
CYSTS IN SKIN objective - for
laypeople to have an
essential
understanding of
EPIDERMAL CYSTS in
their health
management.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
 ROJOSON’S REQUEST:

EPIDERMAL Empowerment FEEDBACK TO THIS

CYSTS IN SKIN objective - for PEP TALK!
laypeople to have an
essential Pls. type in your
understanding of feedback in the chat
EPIDERMAL CYSTS in box during the open
forum and before we
their health adjourn!
management.
Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
EPIDERMAL START Q&A AND
CYSTS IN SKIN objective - for
INTERACTIONS!
laypeople to have an
essential Pls. turn on your
understanding of video!
EPIDERMAL CYSTS in Show your face!
their health
management.