A Case of a Giant Trichilemmal Cyst on the Forehead

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  • Takamura Nariaki
    Department of Plastic and Reconstructive Surgery, Japanese Red Cross Ishinomaki Hospital
  • Amo Kenichi
    Department of Plastic and Reconstructive Surgery, Japanese Red Cross Ishinomaki Hospital
  • Yusa Yu
    Department of Plastic and Reconstructive Surgery, Tohoku University Hospital
  • Takezawa Yusuke
    Department of Plastic and Reconstructive Surgery, Japanese Red Cross Ishinomaki Hospital

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<p>Trichilemmal cysts are the most common benign subcutaneous cysts on the scalp. Approximately 90% of trichilemmal cysts appear on the scalp and have trichilemmal keratinization without a granular layer visible on pathological examination. In addition, proliferating trichilemmal tumors, which occur in 2% of trichilemmal cysts, show local recurrence and ulceration, making them highly locally aggressive and requiring careful differentiation. We report the case of a 56-year-old man with a giant trichilemmal cyst on his forehead. After computed tomography and magnetic resonance imaging, a subcutaneous cyst was suspected and excised, and a pathological diagnosis of trichilemmal cyst was established. This was a rare case as the trichilemmal cyst was not located on the scalp, the most common site, but on the forehead area, and it was exceedingly large, with a maximum diameter of 9 cm.</p>

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