Season 6 Case 15

Neuro Nov 22, 2017

Case 15

History: palpable nodule on head


Answer:

CLICK HERE FOR ANSWER

Answer: Trichilemmal Cyst (aka Pilar Cyst)

Technically they are different than a sebaceous cyst (Medscape on the specifics). Originating from the outer root sheath of a hair follicle they present as a nodular subcutaneous mass.It contains a large amount of keratin which calcifies giving it this classic appearance. 90% are in the scalp.

Historically a benign lesion, there have been reported cases of malignant transformation (seriously!), so you one may want to keep an eye on it for enlargement or look for metastatic adenopathy.

Reference: http://www.ajnr.org/content/22/1/180

Tags

WetReadRad

Professor of the Darkroom Arts

Great! You've successfully subscribed.
Great! Next, complete checkout for full access.
Welcome back! You've successfully signed in.
Success! Your account is fully activated, you now have access to all content.