NODE OR SUBCUTANEOUS CYST IN CHILD

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HEALTH AND COMFORT IN CHILD

EVALUATION OF SMALL MASSES OR PROTRUSIONS, SUCH AS DERMAL CYSTS, TO CLARIFY THEIR NATURE AND DETERMINE THE NEED FOR TREATMENT

Example
Dermoid cyst

Example
Pilomatrixoma

A lump under the skin?

The appearance provides clues, but does not confirm the diagnosis.

There are several possible causes - evaluation identifies the most likely one.

Two possible examples - not for self-diagnosis.

The same lump can have different causes

Nodule or cyst describes what is seen or felt - it is not yet a diagnosis.

DERMOID CYST

01

Congenital, rounded, and slow-growing

It is often painless and can appear near the eyebrow, on the scalp, or in other areas.

PILOMATRIXOMA

02

Small benign hair follicle formation

It is usually firm or hard, superficial, and painless. It is more common on the head and neck but can also appear on an arm.

LIPOMA

03

Fat tissue nodule

It is usually softer, mobile, and painless. In children, it is less frequent than in adults.

These are just three examples. There are other possible causes and similar lesions may require different approaches.

How is it determined what it is?

The medical history and physical examination guide the diagnosis and help decide if any tests are needed.

DURING THE CONSULTATION, THE FOLLOWING ARE EVALUATED

  • ●
    Location and depth
  • ●
    Size and evolution
  • ●
    Consistency and mobility
  • ●
    Pain or inflammation
  • ●
    Skin appearance
  • ●
    Impact on vision or movement

USUAL COURSE

01

Physical examination

Many typical and superficial lesions can be guided by the consultation.

01

Ultrasound

It can help if there is doubt about the type, depth, or relationship with other tissues. It does not use radiation.

01

Other tests

Magnetic resonance imaging or CT scans are only used in selected situations, such as deep lesions or special locations.

Not all children need an ultrasound or other tests.

Routine ultrasound vs. specialized ultrasound

It is common to wonder about the difference between the two modalities. At Aeger Prima, the doctor indicates which one is most suitable for each situation, avoiding unnecessary tests and ensuring the patient always undergoes the right test for their case.

CAN BE MONITORED

When it shows reassuring signs

  • ●
    Small and stable
  • ●
    Painless and without inflammation
  • ●
    Typical clinical appearance
  • ●
    No functional interference
CAN BE REMOVED

When treatment offers a clear advantage

  • ●
    It is growing or changing
  • ●
    It hurts or inflames repeatedly
  • ●
    It interferes with function or well-being
  • ●
    The diagnosis is uncertain or atypical

AND THE DERMOID OR PILOMATRIXOMA?

As they usually do not disappear spontaneously, excision is often considered - always according to the specific case.

If removal is necessary

01

Remove

The lesion is removed through a small incision, attempting to remove it completely.

02

Confirm

The tissue is sent for pathological examination: microscopic analysis confirms the diagnosis.

03

Heal

The family receives instructions for wound care, bathing, pain, and protecting the scar.

WHAT TO EXPECT FROM A SIMPLE SUPERFICIAL LESION

SURGERY

≈ 30–60 minutes

DISCHARGE

On the same day

SCHOOL

When comfortable

SPORTS

After healing

Approximate times; the total time at the clinic is longer than the surgery time.

When to request an earlier evaluation?

These signs do not necessarily mean a serious illness - they indicate the child should be observed earlier.

REQUEST A PRIORITY EVALUATION IF
  • ●
    It is increasing or changing rapidly
  • ●
    It seems deep, fixed, or has recurred
  • ●
    Pain persists or limits movement
  • ●
    The skin becomes injured or changes appearance
REQUEST OBSERVATION ON THE SAME DAY IF
  • ●
    It becomes red, hot, swollen, or very painful
  • ●
    It ruptures, drains pus, or bleeds continuously
  • ●
    Fever appears or the child seems ill
  • ●
    Near the eye, causing eye pain or vision changes

Do not squeeze, puncture, or attempt to drain the nodule at home.

what is evaluated in treatment

01.

pathological conditions:

If the patient has recurrent infections or other clinical conditions that may justify surgery.

02.

Hygiene and comfort:

The doctor will assess the patient's level of comfort, taking into account their hygiene and potential complications.

03.

Aesthetic reasons:

The doctor will discuss the expectations and benefits of the procedure.

​​BOOK A PEDIATRIC SURGERY CONSULTATION

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