Benign skin/soft tissue findings and malformations

The indication for the removal of a birthmark is usually given by a dermatologist and the patient is referred to us for surgical removal. This is usually possible on an outpatient basis.

A pilomatrixoma is a benign tumour that develops from the root of a hair. Pilomatrixomas often grow rapidly and calcify over time, making them hard. They can be visually and mechanically disturbing, but above all they can also become inflamed. Antibiotic therapy is then often necessary and complete removal is difficult afterwards. We therefore recommend early removal. Removal is usually performed on an outpatient basis.

Dermoid cysts are congenital cysts that classically occur on the head (e.g. lateral eyebrow). Dermoid cysts are filled with sebum or even hair and grow slowly and displacing it. This can lead to an indentation of the skull bone. There is also a risk of inflammation. We therefore recommend early removal. Removal is usually performed on an outpatient basis.

An epidermoid cyst is a skin inclusion cyst that can occur anywhere on the body. It also grows slowly and can become inflamed. Removal is therefore recommended. Removal is usually performed on an outpatient basis.

A granuloma pyogenicum usually develops after minor trauma, an insect bite or for no apparent reason. It is a rapidly growing vascular tumour that can bleed quickly and heavily. It very rarely recedes spontaneously, which is why we recommend prompt surgical removal. Removal is usually performed on an outpatient basis.

Ear appendages are congenital. They have no pathological value, except that they can be visually disturbing. As there is often a central cartilaginous part, surgery is the treatment of choice. Simple ligation is not recommended. Removal is usually performed on an outpatient basis.

Like the ear appendages, preauricular fistulae are a remnant of development in the womb. Recurrent fluid leakage or even inflammation can occur. Removal is then indicated. This operation is always performed under general anaesthetic. Depending on the extent of the fistula, further clarification may be required and the operation may be performed on an outpatient or inpatient basis.