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Round lump under the skin, sometimes with a small hole

Also called: Epidermoid cyst

A round lump under the skin with a small hole is usually an epidermoid cyst. They're harmless unless infected.

Common causesCyst
Usually serious?No
Get checked ifRed, painful, or growing
If you think it's an emergency, call 911.Thinking about suicide? Call or text 988.

Overview

Cysts can become infected.

Don't squeeze.

When to get medical care

Call 911Not an emergency.
Get care todayRed, hot, painful lump.
See a doctor soonGrowing cyst.

Causes

Caused by blocked skin.

OwieClear has pages on 1 condition that can cause round lump under the skin, sometimes with a small hole. Each shows how soon to get care.

Common causes

What you can do at home

  • Warm compresses if inflamed.

Medicines

Removal.

At the doctor

Diagnosed by exam.

Questions you may be asked

  • Changes

The exam

A skin exam.

Tests

  • None

Prevention

Don't squeeze.

  • Leave it alone

Check your symptoms

Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.

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Sources

Last updated 2026-11-13.