Atheroma

Removing atheroma: these are the options

Atheroma is a benign skin tumor that is harmless to health. For purely medical reasons, you do not have to have the sebum cyst removed. Most of those affected are cosmetically bothered by the bump and want to have the atheroma removed. This is especially true if the tumor has formed in a clearly visible place , for example on the head or face.

Visually, the cyst quickly catches the eye, which is uncomfortable for many. Even if the tumor causes a feeling of tension due to its increasing size, becomes inflamed and painful, you should have the atheroma removed - always by a doctor , not on your own!

Atheroma does not usually resolve on its own. Unless the blockage of the sebum goes away. This is extremely seldom the case with small atheromas, and never with larger ones. By the way, an atheroma doesn't just burst because it grows very slowly. This gives the skin enough time to stretch with it.

Atheroma removal: never do it yourself

The important things first! No matter how annoying the atheroma is or if it just looks like a pimple at first - you must never squeeze out an atheroma yourself with your fingers or prick it with a sharp tool! Those who do their own tinkering with the cyst run the risk of inflammation . Bacteria and other germs can penetrate the injured skin. Then the skin swells, becomes red and can cause quite a bit of pain. Always see a doctor who will knowledgeably remove the atheroma. Atheroma treatment belongs in the hands of a specialist , because he works under sterile conditions. This avoids the risk of infection, but also that the atheroma grows again.

Remove atheroma - the surgeon does it

The atheroma is best removed by a surgeon . He cuts the lump out of the skin with a scalpel. As part of the atheroma operation, he not only removes the contents of the cyst, but also peeled out the capsule and the ducts of the sebum gland at the same time. No remnants of the covering or ducts should be left in the skin, otherwise the chances are high that the atheroma will grow back.

Surgeons remove small to medium-sized atheromas under local anesthesia (local or regional anesthesia). In the case of larger or inflamed atheromas, the removal is somewhat more complex and takes longer. Sometimes you will need general anesthesia for this .

If the atheroma becomes infected - treatment

Sometimes the atheroma becomes inflamed: then an abscess is formed and pus accumulates. In this cases, it is even more important that you do not put your hand on the atheroma yourself and try to express it. If the boil bursts, bacteria can get into the bloodstream and cause blood poisoning. This is especially dangerous if the atheroma is on the head - the germs then possibly end up in the brain! If the atheroma is inflamed and painful, the motto is always: off to the doctor!

If the atheroma is infected, the first thing doctors try to do is antibiotics to reduce the inflammation(work against bacteria) to subside. This will prevent the infection from spreading. In addition, the doctor tries to ripen the atheroma with ointment - more precisely draft ointment - or heat. The pulling ointment softens the skin, relieves pain and slows down inflammation. It also reduces sebum production and ensures that the abscess opens and drains faster.

If the atheroma is not inflamed, the pulling ointment is of little use: although the atheroma shrinks because the secretion is emptied, the capsule does not dissolve as a result. Again, it can only be removed surgically.

Then the surgeon carefully opens the atheroma, removes the pus and rinses it with a disinfectant solution to remove all germs as possible. Only when the inflammation has subsided after some time will the doctor remove all of the atheroma in a surgical procedure. As after any operation, wound pain can occur. The larger the atheroma, the more pronounced it can be because the wound is larger. These complaints can be brought under control with painkillers.

Remove atheroma - you usually bear the costs yourself

From a medical point of view, an atheroma has no "disease value". That means: The cyst may be unsightly and cosmetically annoying, but not dangerous for your health. Troublemakers have nothing to do with cancer anyway. The health insurance companies usually do not cover the cost of atheroma removal for aesthetic reasons

 

Symptoms: how to recognize an atheroma

You can tell that an atheroma has formed on the skin by the following symptoms:

• Atheroma shows up as a visible bump on the skin. It can be a few millimeters to centimeters in size, but it can also swell up to the size of a chicken egg or tennis ball
• The cyst is rounded and feels plump and elastic
• Most often, atheroma is found on the scalp
• The bump won't hurt unless it's infected
• Larger atheromas stretch the skin and cause a feeling of tension
• Sometimes a dark point can be seen on the atheroma; this corresponds to the blocked duct of the sebum
   

You can recognize an inflamed atheroma by the following signs:

• Pain in the atheroma and surrounding tissues
• The skin is sensitive to pressure
• Reddened and swollen skin around the atheroma
• The skin feels hot to

 

Atheroma: The causes are often clogged sebum glands

In many cases, the cause of atheroma is a blocked sebum gland outlet. The sebum glands normally secrete fat and ensure that the skin is supple and the hair is shiny. Dead skin cells or dried sebum can block this duct. Then the sebum builds up because the glands keep producing fat. However, there are only very small amounts per day, which is why the atheroma only slowly increases in size.

In the case of real atheromas, there can even be groups of tumorsform. They occur when cells from the top layer of skin are dispersed and block the place where the hair grow out of the skin. The horny cells that are regularly produced in the skin can no longer get out and accumulate - an epidermal cyst is formed. The more horn material that accumulates, the larger the atheroma becomes. Medical professionals assume that there is a genetic basis for these atheromas. The tendency to atheromas is inherent in the skin from birth.

In summary: never remove the atheroma yourself, always put yourself in the hands of a doctor. This is especially true if the tumor has become infected. A doctor can gently treat and remove the atheroma!

 

Atheroma definition: what variants are there?

An atheroma is a benign cyst that is encased in a capsule and usually forms near the hair follicle. The hair is anchored in the skin via this hair follicle. Atheroma usually develops when the duct of a sebum gland is blocked. The cyst can be filled with various contents: sebum and / or horny cells usually accumulate there.

The atheroma can gradually grow to a considerable size - some can grow to be the size of a chicken egg or even a tennis ball. Colloquially, the atheroma has the rather unattractive name “Grützpaket” . It often grows on the head and interferes with combing hair. The bump can also cause an uncomfortable feeling of tightness if it continues to grow.

Atheroma definition: real and false atheromas

Doctors often use the term "atheroma" very inconsistently. Strictly speaking, the following atheroma variants can be distinguished:

• "Real" atheromas (epidermal cysts) form on the hair follicles, but in the upper area at the point where the hair emerges from the skin. They arise from cells in the skin and subcutaneous tissue. The knots feel spherical, plump, and elastic when you stroke them or press them gently. Epidermal cysts usually do not have a visually recognizable excretory duct. Horn cells and hair accumulate in the cyst; the contents smell unpleasant when a doctor opens the atheroma. True atheromas often appear in groups and can be inherited. Often the atheroma is on the head, back, trunk, face, or on the upper arms and thighs.
• "Wrong" atheromas(Trichilemmal cysts), on the other hand, form on the lower part of the hair follicles. The knots also feel firm, firm and elastic. False atheromas arise when one or more sebum glands become clogged, for example with detached skin cells or dried sebum. The fat no longer gets outside and gradually accumulates in the tissue. The location of the blocked duct can sometimes be seen as a black point. The cyst grows slowly because the sebum glands only produce tiny amounts of fat every day. Atheroma can develop almost anywhere on the body because hair follicles and sebum glands run through the entire skin. Atheroma on the head, neck, ear, chest, back, neck, face or genital area are not uncommon. Atheroma can even appear on the testicle. Those affected usually find this very uncomfortable.
  
  

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