II. Epidemiology
- Most common in over age 15 years
III. Pathophysiology
- Epidermal Cyst involving the scalp in 90% of cases
- Most common in areas of dense Hair Follicles
IV. Symptoms
- Asymptomatic in most cases
- No odor (unlike Epidermal Cysts)
V. Signs
- Well defined, scalp oval mass
- Scalp Cysts collect keratin of cheese consistency
- Multiple Scalp Cysts may coalesce
- May become inflamed if rupture occurs
- Often associated with overlying regions of Alopecia
VI. Management: Excision
- Complete excision in standard fashion
- See Minimal Epidermal Cyst Excision
VII. References
- Habif (1996) Clinical Dermatology, p. 644-5