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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lump Filled With Smelly Worm-like Pus On Neck?

Hi, my husband had a small hard lump on the back of his neck just below his hairline. He asked me to look at it to see if it was an ingrown hair or pimple. While looking at it i squeezed it and a large amount of smelly white worm-like stuff came out of it. It was incredibly smelly. The lump seems to have gone now and there don't appear to be any marks...what was it and should we get it checked out?
Fri, 24 Jul 2015
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General & Family Physician 's  Response
Thank you for asking Healthcare majic.

My name is Dr Ehsan Ullah &
I have gone through your query.

you have mentioned that your husband has Samll hard lump at the Nape of the neck which looked as if it was ingrown hair or pimple...when sqeezing you observed smelly white worm like stuff

It's most Probably
Sebaceous Cyst.
although it has gone but such lumps need complete excision with their covering as they Recur.

Sometime , infected lesions or swelling also present with whitish discharge which is Pus ... but this Cheesy whitish stuff is typical of Sebaceous Cyst.
you should consult general surgeon for evaluation .

Surgical excision of a sebaceous cyst is a simple procedure to completely remove the sac and its contents

An infected cyst may require oral antibiotics or other treatment before or after excision. If pus has already formed then incision and drainage should be done along with avulsion of cyst wall with proper antibiotics coverage.




Hope this may help you. Let me know if anything not clear.
Thanks.
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What Causes Lump Filled With Smelly Worm-like Pus On Neck?

Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query. you have mentioned that your husband has Samll hard lump at the Nape of the neck which looked as if it was ingrown hair or pimple...when sqeezing you observed smelly white worm like stuff It s most Probably Sebaceous Cyst. although it has gone but such lumps need complete excision with their covering as they Recur. Sometime , infected lesions or swelling also present with whitish discharge which is Pus ... but this Cheesy whitish stuff is typical of Sebaceous Cyst. you should consult general surgeon for evaluation . Surgical excision of a sebaceous cyst is a simple procedure to completely remove the sac and its contents An infected cyst may require oral antibiotics or other treatment before or after excision. If pus has already formed then incision and drainage should be done along with avulsion of cyst wall with proper antibiotics coverage. Hope this may help you. Let me know if anything not clear. Thanks.