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Epidermoid And Pilar Cysts (Sebaceous Cyst) – Information for GPs

Referral criteria / commissioning position

Refer to secondary care (either plastic surgery or dermatology depending on site) where there is:

  • a suspicion of malignancy or diagnostic uncertainty
  • obstruction of orifice or vision
  • function limitation on movement or activity
  • sebaceous cyst with recurrent infection and beyond the ability of primary care/community service
  • removal of moderate to large facial lesions which cause disfigurement

Removal of lesions for other clinical indications including itching, bleeding, pain, active inflammation or recurrent trauma require prior approval via the Individual Funding Request (IFR) panel.

Investigations prior to referral


Information to include in referral letter

  • Details of how the patient meets the above criteria
  • Site and size of lesion
  • Treatments and interventions, current & past tried including the results,
  • Drug history (prescribed and non-prescribed)
  • Current regular medication
  • Relevant past medical/surgical history
  • BMI
  • Smoking status
  • Alcohol consumption

Further information for patients


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