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Have raised, red bump with a black dot and puss between the shoulder blades. What could be this?

Hi, I have a raised, red bump with a black dot in the middle that seems to be inverted into the skin of my back below and between the shoulder blades. I noticed it about 8 months ago and thought it was a pimple . I had someone squeeze it and found the black dot in the middle that won t seem to come out. 8 month later, yesterday, I had my sister squeeze it and white puss came out that was foul smelling. What could this be and what do I need to do? Will it be expensive without insurance?
Asked On : Thu, 10 Jan 2013
Answers:  2 Views:  1840
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM

A red bump with ablack dot in the centre with white colored material oozing out seems to be a sebaceaus cyst.
Sebaceaus cyst is a keratin (pus like material) filled cyst.
It is a benign lesion.
The management consists of surgical removal, histopathological examination and a short course of antibiotics.
Surgical removal of the cyst can be done under local anaesthesia and is an office procedure.

Thanks and take care
Dr Shailja P Wahal
Answered: Thu, 10 Jan 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
You are suffering from sebaceous cyst.
The black dot in the centre is called as punctum.
You have o get it removed surgically.
Consult a general surgeon for this.
It is not a expensive surgery as it can be carried out in local anaesthesia.
Answered: Thu, 10 Jan 2013
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