Definition

  • Slow gorwing subcutaneous cyst derived from the root sheath of the hair follicle and is most commonly located on the scalp

Risk

  • Often strong family hx (AD inheritance)
    • Can occur sporadically or in the setting of a hereditary predisposition with autosomal dominant transmission
  • Frequently multiple (70%)
  • Arise in middle age
  • 90% occur on scalp

Pathology

  • Have a palisaded peripheral layer without a granular layer
  • Contains Eosinophilic hair keratin
  • May have calcification
  • Filled with amorphous material