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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Cyst Behind Right Ear

i have a cyst behind my right ear and I need a specialist to remove it and I was wondering if I would have to be put to sleep I am forty nine years of age and its located behind my right ear right on the bone the cyst has got much smaller than it was this past year I will say it is big as the tip of my index finger and the tip of my thumb but I need to locate a doctor who will remove it I will have to pay out of my pocket due to I do not have insurance coverage my email address is YYYY@YYYY
Thu, 24 Sep 2015
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General & Family Physician 's  Response
Hello,
Thank you for writing at HCM.
There are two most common causes of the "cysts" behind the ear.
1. One is called sebaceous cyst- which is a cyst filled with "fatty material". These are very common and are not dangerous at all and we remove them just to not let them be too big and cause us esthetic problems and on the other hand a big lump removed will leave a bigger scar also.
2. Another cause might be a lymphnode. These are oval shaped structures that react to infection and is a normal finding many times. You might need to check your scalp for any wounds that might be the cause. Sometimes we do not find a cause and this is OK but a doctor needs to see the lump to make the difference between a sebaceous cyst and a lymphnode. In the case of a lymphnode it not important to remove it, they generally do not tend to grow with time, the most important thing with a lymphnode is to check if it is a reactive one (benign- they are soft, oval, regular borders and smaller than 2 cm) or not.
If the doctor thinks it is a sebaceous cyst will use local injection on the skin over the cyst to numb it and try to remove the cyst with the capsule and put sutures to close the skin.
If the doctor thinks it is a lymphnode he/she will have to evaluate if it is benign or not and if he/she thinks it is benign very likely you will not be recommend removal but review of the lump in a few months or earlier if it grows. In case the doctor is not sure he/she might ask for further tests than just watchful approach.
Hope this answers to your question
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Suggest Treatment For Cyst Behind Right Ear

Hello, Thank you for writing at HCM. There are two most common causes of the cysts behind the ear. 1. One is called sebaceous cyst- which is a cyst filled with fatty material . These are very common and are not dangerous at all and we remove them just to not let them be too big and cause us esthetic problems and on the other hand a big lump removed will leave a bigger scar also. 2. Another cause might be a lymphnode. These are oval shaped structures that react to infection and is a normal finding many times. You might need to check your scalp for any wounds that might be the cause. Sometimes we do not find a cause and this is OK but a doctor needs to see the lump to make the difference between a sebaceous cyst and a lymphnode. In the case of a lymphnode it not important to remove it, they generally do not tend to grow with time, the most important thing with a lymphnode is to check if it is a reactive one (benign- they are soft, oval, regular borders and smaller than 2 cm) or not. If the doctor thinks it is a sebaceous cyst will use local injection on the skin over the cyst to numb it and try to remove the cyst with the capsule and put sutures to close the skin. If the doctor thinks it is a lymphnode he/she will have to evaluate if it is benign or not and if he/she thinks it is benign very likely you will not be recommend removal but review of the lump in a few months or earlier if it grows. In case the doctor is not sure he/she might ask for further tests than just watchful approach. Hope this answers to your question