Who Removes Cysts & Which Specialist Should You See?

A cyst is a sac-like pocket of tissue that can form in almost any part of the body, containing fluid, air, or other materials. While many cysts are benign and may not require intervention, some can cause discomfort, become infected, or raise cosmetic concerns, leading to a need for their removal. Understanding which medical professional is best suited to address a cyst depends on several factors.

Medical Professionals Who Remove Cysts

Different medical specialists are equipped to remove cysts, with their expertise aligning with the cyst’s location and characteristics.

Dermatologists frequently manage cysts that appear on or just beneath the skin’s surface. These include common types such as epidermal cysts, which are often filled with keratin, pilar cysts found on the scalp, and sebaceous cysts, which arise from blocked oil glands.

General surgeons often handle larger, deeper, or more complex cysts, including those located within internal organs. They can also address certain types of cysts that might require surgical excision, such as ganglion cysts that form near joints or tendons.

For cysts related to the female reproductive system, such as ovarian cysts or Bartholin’s cysts, gynecologists provide specialized care.

Cysts in the mouth, jaw, or facial region, like dentigerous or odontogenic cysts, are managed by oral and maxillofacial surgeons.

Ophthalmologists are the specialists for cysts affecting the eyes or eyelids, including chalazions and styes that have developed into cysts.

Lastly, urologists address cysts related to the urinary tract or male reproductive system, such as kidney cysts or epididymal cysts.

Determining the Right Specialist

The cyst’s location is a primary determinant. Its size and depth also guide the referral.

The suspected nature of the cyst plays a significant role in specialist selection. If there is any concern about malignancy or unusual characteristics, a specialist with expertise in that particular body area, potentially an oncology surgeon, might become involved to ensure appropriate evaluation.

Patient symptoms, such as pain, infection, or the cyst’s impact on organ function, further direct the referral. Diagnostic findings, including results from imaging techniques like ultrasound or MRI, or tissue analysis from biopsies, provide crucial information that helps pinpoint the most suitable specialist for treatment.

Navigating Cyst Removal: Your First Steps

When an individual discovers a cyst, the initial step involves consulting a primary care physician (PCP). The PCP can perform an initial evaluation, which may include a physical examination and a review of medical history. They can often diagnose common, benign cysts and provide initial advice on management.

It is important to seek professional medical evaluation rather than attempting self-diagnosis or removal at home. Trying to pop or drain a cyst independently can lead to complications such as infection, incomplete removal, or misdiagnosis of a more serious underlying condition.

During the initial consultation, the PCP will assess the cyst and, if necessary, provide a referral to the appropriate specialist based on the cyst’s characteristics and location.