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Paediatric ENT - Can Dermoid Cysts in Children or Adults Grow Bigger Over Time?

Can Dermoid Cysts in Children or Adults Grow Bigger Over Time?

When you or your child is diagnosed with a dermoid cyst, one common question often comes to mind- Will it keep growing if left untreated? Understanding how these cysts behave can help you make informed decisions about care and monitoring.

Key Takeaways

  • Dermoid cysts are usually slow-growing, but they can increase in size over time.
  • They are typically benign, yet growth may cause discomfort or complications depending on location.
  • Early assessment allows appropriate monitoring or timely intervention.
  • If you are searching for dermoid cyst treatment in Singapore, it is important to consult a qualified ENT specialist for personalised advice.

What Exactly Is a Dermoid Cyst?

A dermoid cyst is a sac-like growth that develops from tissues present since birth. It may contain:

  • Skin cells
  • Hair follicles
  • Sweat or oil glands

These cysts commonly appear:

  • Around the eyes or eyebrows
  • On the scalp
  • In the neck region
  • Occasionally inside the nose or deeper facial structures

Although often detected in childhood, some dermoid cysts remain unnoticed until adolescence or adulthood.

Do Dermoid Cysts Grow Bigger Over Time?

In many cases, yes, dermoid cysts can grow gradually. 

Here is what you should know:

  • Growth is usually slow and steady rather than rapid.
  • Enlargement occurs as skin cells and glandular material continue to accumulate inside the cyst.
  • Some cysts may remain stable for years, while others progressively increase in size.
  • Growth may become more noticeable during periods of physical development in children.

Even though dermoid cysts are generally non-cancerous, increasing size may,

  • Cause visible swelling
  • Lead to discomfort or tenderness
  • Increase the risk of infection
  • Affect nearby structures, depending on location

This is why regular clinical evaluation is important.

What Happens If a Dermoid Cyst Is Left Untreated?

Not all dermoid cysts require immediate surgery. However, leaving them untreated may lead to,

  • Gradual enlargement
  • Redness or inflammation
  • Infection if the cyst ruptures
  • Pressure effects if located near sensitive areas such as the eye or nasal cavity

In rare situations, deeper dermoid cysts may connect to underlying tissues. Imaging tests may be recommended to assess this. When considering dermoid cyst treatment, the decision is typically based on,

  • Size of the cyst
  • Symptoms experienced
  • Location and depth
  • Risk of complications

How Are Dermoid Cysts Treated?

Treatment depends on individual assessment. Options may include,

Observation- is Suitable for small, symptom-free cysts for which regular follow-up to monitor changes would be recommended.

Surgical Removal- is Often recommended if the cyst is growing and is causing discomfort or cosmetic concern. This aims to remove the cyst completely to reduce recurrence risk. Surgery is usually planned carefully to minimise scarring and protect surrounding structures.

When Should You See a Doctor?

You should seek medical assessment if,

  • The lump increases in size
  • There is pain, redness, or discharge
  • The cyst interferes with vision, breathing, or swallowing
  • You are unsure about the nature of the swelling

Early evaluation helps clarify the diagnosis and discuss suitable management options.

Frequently Asked Questions (FAQs)

  • Are dermoid cysts cancerous?

Dermoid cysts are typically benign i.e. non-cancerous. However, proper medical assessment is important to confirm the diagnosis.

  • Can a dermoid cyst go away on its own?

Dermoid cysts generally do not disappear without treatment. They tend to remain stable or grow slowly over time.

  • Is surgery always necessary?

Not always. Small, symptom-free cysts may be monitored. Surgery may be considered if the cyst grows, causes symptoms, or poses a risk of complications.

  • Is dermoid cyst removal safe for children?

When indicated, surgical removal is commonly performed with appropriate planning and assessment. Your doctor will discuss risks and benefits before proceeding.

  • Can dermoid cysts come back after removal?

If the cyst is completely removed, recurrence is uncommon. Incomplete removal may increase the chance of regrowth.

Looking for Dermoid Cyst Treatment in Singapore?

If you or your child has been diagnosed with a dermoid cyst, a proper evaluation is the first step towards clarity and reassurance.

At SOON Adult & Child ENT Specialist Clinic, patients receive thorough assessment and evidence-based management tailored to their individual needs. The focus is on clear explanation, careful evaluation, and appropriate treatment planning in line with clinical guidelines.

If you are concerned about a growing lump or would like advice on dermoid cyst treatment in Singapore, consider booking an appointment with SOON Adult & Child ENT Specialist Clinic today to discuss your concerns and explore suitable management options.