Chancroid - bacterial STD requiring culture The above is only a limited selection of possibilities. As you can see, biopsies or tests are needed to be sure. If your doctor has not done a biopsy, perhaps you should ask if one would be helpful. Epithelial inclusion cysts, probably the most common of these problems, has a different treatment than hidradenitis suppurativa or Fox-Fordyce disease and a different clinical course. Epithelial inclusion cysts result when a duct is plugged up and the skin cells, squamous cells, that are usually sloughed as they naturally die off, cannot get out of the duct.
New cells keep forming, however and a cyst filled with cells forms under the skin.
If those cysts are opened surgically, a cheesy -like contents are extruded. Some women may form these as a result of surgery or an episiotomy during delivery. Others just seem to have a tendency for the vulvar skin ducts to get plugged up. The only treatment for these is to surgically open the cysts with a needle or scalpel wide enough not to get replugged up, or to actually surgically excise the cyst and close the skin with a stitch. Remember that epidermoid cysts are usually not infected with bacteria unless you have been squeezing them and the cyst breaks up into the skin rather than to the surface of the skin.