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Generally no treatment is required but they become painful then it means they are infected, then surgical excision by traditional wide excision, minimal excision, and punch biopsy excision may be required. I hope it helps. Take care and please do keep me posted on how you are doing. Kind regards.
From the symptoms it sounds like a sebaceous cyst. A sebaceous cyst is a closed sac occurring just under the skin which contains a cheesy looking substance called keratin. Blocked sebaceous glands, swollen hair follicles and excessive testosterone production will cause such cysts.
Generally no treatment is required but they become painful then it means they are infected, then surgical excision by traditional wide excision, minimal excision, and punch biopsy excision may be required. I hope it helps. Take care and please do keep me posted on how you are doing. Kind regards.