Presentation
Headache for investigation. Incidental finding of lumps in the scalp.
Patient Data
Age: 50
Gender: Male
From the case:
Multiple scalp trichilemmal cysts (wens)
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Multiple partially calcified mass lesions in the subcutaneous tissues of the scalp (hair-bearing portion)
Case Discussion
A trichilemmal cyst, also known as a wen, is a common cyst that forms from a hair follicle. They are most often found on the scalp. The cysts are smooth, mobile and filled with keratin, a protein component found in hair, nails, and skin. They may or may not be tender.
Trichilemmal cysts may run in families. In this case the keratin has calcified.