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Sebaceous cyst on the hairline and its removal - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Hi - I have a hard lump on the top of my head. I've had it for years and it has definitely got bigger. Its about an inch squared. You can actually see it in my hairline. I have recently found a second small lump about an inch & a half in front of the original. This is new. And it is smaller. My GP first suggested suggested I see a general surgeon then a dermatologist. So I am confused. My question is this: as I have private insurance I can find my own specialist without a referral from my GP), so what kind of doctor should I look for? Thx for your help. I've been ignoring this for years - I think the time has come to get it sorted.
Doctor :   Hi
Doctor :   Let me read it
Doctor :   Ok
Doctor :   May I know your age & gender?
User :   I'm femail and 45
User :   female! Sorry, typo
Doctor :   Do you have any other symptoms associated with
Doctor :   the lumps?
Doctor :   Like itching?
User :   they aren't painful to touch
User :   no itching
User :   I do have a couple of others at the back of my head. Equally small
Doctor :   Is the swelling hard or
Doctor :   soft/cystic?
User :   The big one at the top/front of my head feels kind of hard. Definitely not soft & squishy. But it does move from side to side slightly
Doctor :   It is mostly a sebaceous cyst
User :   a 'wen'? This is what my GP called it
Doctor :   You must consult either a surgeon(first preference)
Doctor :   or a dermatologist also
User :   ok -
User :   can I ask - if I need to have it removed surgically, I will need to have the top of my head shaved, I assume.
User :   my health comes first of course. But as a busy professional, having my head shaved - even a small patch - isn't a welcome prospect. I just ask because I want to manage my own expectations...! :)
Doctor :   Yes you will need a shave of that region only
Doctor :   A small incision & removal
User :   ok - thanks
User :   Last question
Doctor :   done under local anesthesia
User :   What is the risk to me to not having it removed
Doctor :   None, only cosmetic, except a small chance of it becoming a benign tumor
Doctor :   when it becomes bigger
User :   ok, thanks. I'll make that appointment now with a general surgeon.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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