that is, by their appearance is similar to the tumor, but histologically not apply to them. Arises as a result of it clogging of the sebaceous gland excretory duct. The secret is stored in the lumen, the capsule expands, resulting in What sebaceous gland into a globular tumor-like formations. Most often occur in areas of atheroma, particularly where a lot of the sebaceous glands (scalp, face, back, etc.). The sebaceous glands are always accompanied by hair follicles, so that atheroma can not occur in areas of the body where there is no hair growth (palms, soles).
Atheroma located in the skin and have a fairly dense connective tissue capsule. Their sizes can range from pea to egg size, and even more, they come in single and multiple. The most characteristic region of localization of multiple atheromas is the scalp and back. Clinically manifest atheroma small, gradually increasing painless soft tumor. In some cases, with a large hard cyst may experience pain associated with easily shifted with respect to the underlying tissues. Often patients are treated when suppurate atheroma and in its cavity pus mixed with salopodobnym, curd-like content ('farina'). Treatment of atheroma operative, indication for surgery is a cosmetic defect and often fester.
The intervention is carried out under local infiltration anesthesia. Radical surgery is complete excision or husking atheroma with a capsule. The skin over the formation of two excised semioval cuts, among which must be placed visible in most cases the mouth occluded sebaceous glands. For the prevention of recurrence necessarily remove the capsule. After removal of atheroma on the skin sutures. In the presence of small atheromas in the face, based on cosmetic reasons, may remove them by radio wave, the seams in this If not overlap. When atheroma fester, make opening the cyst cavity and sanitation, with radical removal, in most cases is problematic due to unclear demarcation of normal tissue cysts. In cases of removal of atheroma festering wound is sutured, but the capsule as possible is excised as fully as possible, thus it is necessary to remember about the cosmetic side of surgery. The best option treatment of festering atheroma should be considered as its opening and drainage, with a delay of radical removal of 1.5-2 months, until the disappearance of local inflammatory changes.