Cysts are one of the most common skin problems that many people experience at some point in their lives. They can appear anywhere on the body, from the scalp and back to more sensitive areas. While most cysts are harmless, they can sometimes grow to a large size, causing discomfort, pain, or cosmetic concerns. The image above captures a rare and fascinating case of a large cyst removal from the back of the neck, performed by a medical professional under sterile conditions.
What Exactly Is a Cyst?
A cyst is a sac-like pocket of tissue filled with substances such as keratin, sebum (skin oil), or pus. They are typically slow-growing and non-cancerous. Cysts form when the skin’s natural shedding process is disrupted, causing cells to build up underneath the surface instead of being expelled. This leads to a lump that can sometimes remain small or gradually enlarge over time.
There are different types of cysts, including:
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Epidermoid cysts – the most common, caused by trapped keratin.
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Sebaceous cysts – usually linked to blocked oil glands.
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Pilar cysts – found mainly on the scalp, originating from hair follicles.
Why Do Cysts Grow So Large?
While many cysts stay small and unnoticeable, some—like the one in this case—become enlarged due to:
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Blockage of oil glands or hair follicles
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Chronic irritation or friction in the affected area
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Genetic predisposition to cyst development
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Infections that cause inflammation and expansion
A cyst on the back of the neck can be particularly troublesome because this area experiences frequent movement, friction from collars, and sweat buildup, which can encourage cyst growth.
The Extraction Procedure
The medical procedure for cyst removal is delicate and requires proper technique:
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Preparation and Cleaning – The skin is sterilized to reduce the risk of infection.
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Incision – A small cut is made directly over the cyst.
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Extraction – The thick, rope-like contents (a mixture of keratin and sebum) are carefully expressed. In this case, the removal looks dramatic as the cyst sac is emptied in long, solidified segments.
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Sac Removal – For complete treatment, the cyst wall or sac must be removed; otherwise, it may grow back.
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Aftercare – The wound is cleaned, sometimes stitched, and covered with a sterile dressing.
Risks of At-Home Removal
Although many people are tempted to squeeze or pop cysts themselves, doing so is strongly discouraged because:
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It can cause infection and spread bacteria deeper into the skin.
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Incomplete removal often leads to recurrence.
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Improper squeezing can leave permanent scars.
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Large cysts may be connected to deeper tissue, requiring medical expertise.
Aftercare and Recovery
Following a professional removal, aftercare is crucial:
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Keep the wound clean and dry for the first 24–48 hours.
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Apply antibiotic ointment if prescribed.
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Avoid direct sun exposure to minimize scarring.
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Follow up with the doctor if there are signs of infection, such as redness, swelling, or discharge.
Prevention Tips
While not all cysts can be prevented, you can lower your risk by:
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Maintaining good hygiene and cleansing the skin regularly.
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Avoiding heavy, pore-clogging skincare products.
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Reducing friction and sweat buildup in vulnerable areas.
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Treating acne or oily skin early to prevent clogged pores.
Final Thoughts
The removal of a large neck cyst is both a medical necessity and a fascinating process to observe. While it may seem unsettling, procedures like this highlight the importance of professional dermatological care. Cysts are rarely life-threatening, but they should not be ignored—especially when they become large, painful, or infected.
If you notice any unusual lump or swelling under your skin, always consult a healthcare professional. With timely treatment, most cysts can be managed safely and effectively, restoring both comfort and confidence.
