Cyst Treatment in Dulles VA

Do you have a weird bump or lump? Many people don’t know where to go in these situations. Typically, a general surgeon can take a look at any odd object on your body. Things like cysts or lipomas may be misconstrued as a cancerous lump. Dr. Sachse can help diagnose what it is, and get it treated.

View Cysts, Lipoma, Lymph Node Biopsy and Melanoma Post-Op Instructions

What is a Cyst?

Cysts are noncancerous, closed pockets of tissue that can be filled with fluid, pus, or other material.

Cysts are common on the skin and can appear anywhere. They may vary in size, but will feel like a hard pebble-sized lump that you can feel roll around under the skin. Typically, cysts are painless, but may cause discomfort depending on where they are. Cysts can develop as a result of infection, clogging of sebaceous glands (oil glands), or around foreign bodies, such as piercings.

However, cysts can become painful if they get infected or inflamed. This can happen on and off while you have the cyst. A temporary treatment is to drain the cyst, but that’s not permanent and is done with local anesthetic. There are some other medical treatments that can reduce the size of the cyst. Cysts are typically glow-growing and this can make it manageable without being too inconvenient.

For more severe cases of cysts that are too large, infected, or causing extreme pain, they can be fully surgically removed under anesthesia

Pilonidal Cysts

Pilonidal cysts are a specific form of cyst. It forms at the bottom of your tailbone. Typically, this is a non-issue, but because of where the cyst is located, it can become infected and filled with fluid. This can lead to extreme pain, but also discharge from the cyst. Once infected, it’s known as a pilonidal abscess. At this point, it will look like a blister or pimple at the end of your tailbone.

As unpleasant as it seems, pilonidal means “nest of hairs”. This is because it’s believe the cyst is caused from ingrown hairs. Therefore, it tends to be more common in men than women. Another cause is from trauma to that area of the body. During World War 2, it was known as “Jeep Disease” because many soldiers came back with pilonidal cysts, and it was thought the bump, long Jeep rides were the cause. So long distance drivers (like truck drivers), may also experience pilonidal cysts more than others.

As with a normal cyst, lancing and draining the cyst can temporarily treat it in combination with antibiotics. However, they almost always come back. Since the cyst appears due to the anatomy of the area, even after surgery there’s a chance of recurrence. Each surgeon has their own method to treat it surgically. If you have a bump near the end of your tailbone, try to keep the area clean and hairless to prevent it from turning into an abscess.


Lipomas are similar to cysts as in they appear as small lumps under the skin. However, lipomas are a “fatty” lump. They are a collection of fat cells that can feel like a tumor. These tumors will rarely ever turn into cancerous tissue. 

They are found most often on the torso, neck, upper thighs, upper arms, and armpits, but they can occur almost anywhere in the body. One or more lipomas may be present at the same time.The cause of lipomas are unknown. Typically lipomas are not treated unless they cause pain or become infected, which is fairly rare. But if they are removed, they are removed on an outpatient basis under local anesthetic.

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