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Pseudocyst of the auricle, also known as auricular pseudocyst, endochondral pseudocyst, cystic chondromalacia, intracartilaginous auricular seroma cyst, and benign idiopathic cystic chondromalacia, [1] is a cutaneous condition characterized by a fluctuant, tense, noninflammatory swelling on the upper half of the ear, known as the auricle or pinna.
The difference between them is that a cyst does not connect with the skin, but a sinus does. [3] Frequency of preauricular sinus differs depending the population: 0.1–0.9% in the US, 0.9% in the UK, and 4–10% in Asia and parts of Africa. [4] Preauricular sinuses are inherited features, and frequently appear next to both ears. [5]
The cyst wall is composed of squamous epithelium (90%), columnar cells with or without cilia, or a mixture of both, with lymphoid infiltrate, often with prominent germinal centers and few subcapsular lymph sinuses. The cyst is typically surrounded by lymphoid tissue that has attenuated or absent overlying epithelium due to inflammatory changes.
The symptoms are occipital headache, cough, middle ear effusion, cervical myalgia, and halitosis, i.e. bad breath. When there is an enlargement of the cyst, it causes symptoms like nasal obstruction, post-nasal discharge with foul-smelling odour, blockage of the Eustachian tube causing otalgia and secretory otitis media, retro-orbital pain.
The scalp, ears, back, face, and upper arm, are common sites of sebaceous cysts, though they may occur anywhere on the body except the palms of the hands and soles of the feet. [4] They are more common in hairier areas, where in cases of long duration they could result in hair loss on the skin surface immediately above the cyst.
A woman discovered "a family inside of my ear" after trekking through a national park on vacation Getty (2) Left: Stock image of a tick; Right: Stock image of a woman's ear.
A branchial cyst, a.k.a. a branchial cleft cyst, is a small, fluid-filled sac that an look like a lump under the skin on the side of your neck, according to the Cleveland Clinic. They can appear ...
Cysts that grow abnormally large, as Smith's did, can cause "pressure or pain" — and can lead to other complications, because they can bleed or rupture, exacerbating the pain.