Case contributed by Fakhry Mahmoud Ebouda
Diagnosis almost certain


Multiple palpable scalp lesions with some pain.

Patient Data

Age: 30 years
Gender: Male

Multiple well defined variable sizes and shape calcified lesions are seen within subcutaneous region of the scalp.

Case Discussion

Pilomatrixoma, or calcifying epithelioma of Malherbe, is a rare benign tumor of hair-follicle origin that mainly arises in the head and neck region. It is thought to arise from skin appendages. The lesion arises in the dermis from primitive cells that normally differentiate into hair matrix cells.

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