What is Dermoid Cyst?
In some cases, dermoid cysts extend below the skin and may even penetrate the bone. They are found very rarely inside the body. Dermoid cysts get bigger with time and may become infected and therefore must be removed as they do not go away on their own.
What are the Causes of Dermoid Cyst?This sac-like structure results during fetal development when skin and skin structures get trapped. Their cell walls are almost similar to that of the outer skin and multiple skin structures like hair follicles, sweat glands, teeth, hair or even nerves may be present.
In the case of ovarian dermoid cysts, it usually develops from a totipotential germ cell that is retained within the egg sac (ovary). As the cell is totipotential, it can give rise to all cell orders so as to form mature tissues and recognizable structures like hair, bone, oily (sebaceous) material, neural tissue and teeth.
What are the Symptoms & Signs of Dermoid Cyst?There are no symptoms. But, in some cases symptoms may vary in intensity. Common symptoms include:
- Painless lump over the midline of the neck, face or hands
- Skin colored lump, or may have a yellowish tinge
- Pain in abdomen, pelvic or lower back pain
- Difficulty urinating and urine retention
- Menstrual pain, which is worse than normal
- Unexplained weight gain
- Abnormal vaginal bleeding
- Nausea, may or may not have vomiting
- Pain in sexual intercourse
How do you Diagnose Dermoid Cyst?Initial diagnosis for checking of dermoid cysts is:
- Physical Examination
- Medical History
- X-ray: Shows the images of the face, head, neck or other areas where the cyst is located.
- CT Scan (Computed tomography scan)
- MRI (Magnetic resonance imaging)
How do you Treat Dermoid Cyst?Dermoid cysts are treated by their complete surgical removal at once and no spillage of cyst contents.
In case of children, dermoid cysts treatment is specific and depends on:
- Child's age
- Overall health
- Medical history
- Extent of condition
- Tolerability of child with regards to specific medications, procedures, or therapies
- Course of the condition
- Opinion or preference of parents
- Type and size of cyst
- Waiting may be needed to re-examine if cyst goes away on its own in few months’ time, irrespective of age.
- Birth control pills may be recommended to reduce the chance of occurrence of new cysts in later menstrual cycles.
- Surgery may be required to remove the cyst if it's large; not looking like functional cyst; is growing or lasts through two to three menstrual cycles. If cysts cause pain, their removal may be recommended.
How do you Prevent Dermoid Cyst?Though there is no fixed method to prevent the occurrence of dermoid cysts. In cases of dermoid cysts in the ovaries, regular pelvic examinations may be needed. Also, a close watch should be kept if there is any change in your monthly cycle, that includes symptoms that accompany menstruation. Talk to your doctor about any concerns.
- Self-removal of facial cysts is not recommended as cysts will grow again if not completely removed. Also, chances of infection, bleeding and other complications are on the high if cysts are removed by self.
- Avoid exposure to estrogen (most common cause of hormonal imbalance) and xenoestrogens by:
- Restricting soy foods
- Take DIM (diindolylmethane) supplements
- Stop using skin care products having mineral oil and parabens
- Don't take water from plastic bottles
- Avoid alcohol, wheat, caffeine and sugar
- Use natural progesterone cream to balance estrogen and progesterone levels, as this will help to reduce ovarian cysts and chances of recurrence in the future.
- Eat foods rich in omega-3essential fatty acids as they can control hormonal disturbances and also insulin resistance, linked with polycystic ovarian syndrome (PCOS).
- Take organic foods as far as you can.