Large Epidermoid Cyst Excised on the Back

Large Epidermoid Cyst Excised on the Back



This sweet gentleman accompanied by his wife and sister in law is visiting family in California for the holidays, having travelled from Chicago via train! During this visit, they scheduled an appointment with me with encouragement from his wife’s other sister (Tracy, HI Tracy!!) who couldn’t be present but who is a popaholic!
He has this cyst on his back which was previously removed by a dermatologist in Illinois when it was much smaller, but it has returned and has grown bigger. Tracy has watched many of my videos on YouTube, and recommended that he see us. Thank you Tracy, for sending your family to us! We tried to take extra great care of them, they are so sweet, and we are lucky that you have heard of us! Only sorry that we couldn’t meet you as well! The power of the internet!

Many people have asked why the internal contents of this cyst as well as the cyst wall are so dark. The complete answer is “I don’t really know”. However, I DO know that I see darker cyst contents in darker-skinned individuals. Although this man’s skin is light in color, he is African American. And this makes sense, since epidermoid cysts contain macerated keratin which is essentially skin cells. Also the wall of the sac is composed of squamous epithelium (like the skin covering our body), and so if this skin is darker in pigment, I wouldn’t be surprised that the cyst wall is dark in color as well. I have seen African American patients with dark cysts and light cysts. However, I have yet to see a Caucasian with a dark cyst, though.

Thank you for watching!!!

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This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

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Comments (35)

  • sachmo omhcas Reply

    Ole Nurse Hyper Wiper will damn near rub the skin off. Dab, Dab, rub, wipe, Dab, dab, dab.

    July 16, 2019 at 8:35 am
  • Geraint Thomas Reply

    💩😲🤢

    July 16, 2019 at 8:35 am
  • Shapree Mallory Reply

    The body is always trying to preserve itself!

    July 16, 2019 at 8:35 am
  • Cynthia Brannock Reply

    Diarrhea

    July 16, 2019 at 8:35 am
  • Charlotte Johnson Reply

    I hate negative people it's not people fault suffer with stuff like this got nothing nice to say don't say anything at all

    July 16, 2019 at 8:35 am
  • Donald Scott Reply

    When she said the darker the skin color the darker the cyst I REALIZED SOMETHING… I HAVE NEVER SEEN A BLACK PATIENT

    July 16, 2019 at 8:35 am
  • Sandy Hewitt Reply

    Amazing but… It looks like poop

    July 16, 2019 at 8:35 am
  • Margaret Collins Reply

    Huge sack!! 😳😳

    July 16, 2019 at 8:35 am
  • Teresa Thompson Reply

    Get on with it!!!!!!

    July 16, 2019 at 8:35 am
  • Debbie McBride Reply

    I would like to talk to the Dr. For 2 mins to say hi fro Orlando. I'm watching new stuff and I talk to you on the tv……making nice jokes….

    July 16, 2019 at 8:35 am
  • Indira Poitier Reply

    Before i doubted that you all was suppose to cut into people, but that was the first time i could really diffrentiate the sack. Now pale or dark, i can believe it

    July 16, 2019 at 8:35 am
  • Joyce Jefferson Reply

    What is all this stuff that looks like poop?

    July 16, 2019 at 8:35 am
  • Shan Mar Reply

    It looks like poop!💩

    July 16, 2019 at 8:35 am
  • donna taylor Reply

    That looked like a slug coming out 🤮🤮

    July 16, 2019 at 8:35 am
  • Eli ce Kouchak Reply

    💩💩💩

    July 16, 2019 at 8:35 am
  • Becca Mala Reply

    WTF Was that green stuff coming out?!???!?!!!

    July 16, 2019 at 8:35 am
  • Jo McGrath Reply

    I love Sandra's caring and kindness. She does such nice work. I thought her assistant was amazing too, like they were doing a dance together, helping each other.

    July 16, 2019 at 8:35 am
  • Σοφία Γαλανού Reply

    😷

    July 16, 2019 at 8:35 am
  • Janet Hartwig Reply

    The size of that sack is amazing!

    July 16, 2019 at 8:35 am
  • Debbie Romero Reply

    So dark like poo

    July 16, 2019 at 8:35 am
  • Eduarda Nascimento Reply

    Ui que delícia!

    July 16, 2019 at 8:35 am
  • Davi Henrique Arcanjo Reply

    He's literally shitting with the back

    July 16, 2019 at 8:35 am
  • T C Reply

    Oh Gosh That's so disgusting – why is it dark like that?

    July 16, 2019 at 8:35 am
  • Queen of Water Reply

    That’s like poop!

    July 16, 2019 at 8:35 am
  • B-dette Asitmay Reply

    Very dark.

    July 16, 2019 at 8:35 am
  • Eric Lima Reply

    Looked like hamburger meat……….

    July 16, 2019 at 8:35 am
  • Janna Soderberg Reply

    Looks like a mini placenta! 🤮 Good job as always Dr. Lee!

    July 16, 2019 at 8:35 am
  • Naomi Tumambo Reply

    I've watched a lot of these and the is the first that actually grossed me out a little. I'll still be watching till I fall asleep though hahaha.

    July 16, 2019 at 8:35 am
  • Deena K Reply

    Hello….. why are you not cleaning out out e ery large hole with saline? I think you should be! I'm a mortician and do know many of your surgeries should be cleaned out, especially the large holes that are left behind…. I'm not impressed by your surgeries and some of your sutures are ridiculous. …spend more time learning how to suture! .

    July 16, 2019 at 8:35 am
  • LYNNHOLLA1 Reply

    Wow. I never seen no sack this dark

    July 16, 2019 at 8:35 am
  • Bridget Pearce Reply

    I get sooooo tense when I watch these vids

    July 16, 2019 at 8:35 am
  • Jihad hawas Reply

    Why it's black?

    July 16, 2019 at 8:35 am
  • GUMBY L2F Reply

    Looks like poop

    July 16, 2019 at 8:35 am
  • vanessa appadoo Reply

    Oh God that is so beautiful… I mean its kinda gross but beautiful at the same time…. I would love to learn from you Dr….

    July 16, 2019 at 8:35 am
  • e dannemiller Reply

    That's a hellava sack wall

    July 16, 2019 at 8:35 am

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