Trichilemmal cyst

Case contributed by Ammar Ashraf
Diagnosis certain

Presentation

Painless mobile right occipital scalp swelling for six months. No discharge or skin color changes.

Patient Data

Age: 30 years
Gender: Male
ct

No CT evidence of recent intracranial hemorrhage or infarction. Small well-circumscribed calcified lesion in the subcutaneous tissue of the scalp in the right occipital region.

Two years later

ultrasound

Well-defined, oval-shape lesion containing internal calcifications, measuring 11 x 17 mm noted in the superficial subcutaneous soft tissues of the scalp. No internal vascularity is seen in it on color Doppler ultrasound examination.

Photo

The lesion was excised and the histopathology showed pilar / trichilemmal cyst. 

Case Discussion

Small well-circumscribed calcified lesion in the subcutaneous tissue of the scalp in the right occipital region, which is likely a trichilemmal cyst or calcified sebaceous cyst

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