Concluded Case

60 yrs Male Cystic lesion over scalp since 6 months. 4.3 cm sized. HP images for views.

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Concluded answer

*Pilar Cyst/ Trichilemmal Cyst/ Wen/ Isthmus Catagen Cyst with Giant cell reaction, Showing intradermal cystic lesion lined by squamous epithelium without granular layer, filled with keratin material( abrupt keratinization) admixed with cholesterol clefts, histiocytes & collections of giant cells.

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*Pilar Cyst/ Trichilemmal Cyst/ Wen/ Isthmus Catagen Cyst with Giant cell reaction, Showing intradermal cystic lesion lined by squamous epithelium without granular layer, filled with keratin material( abrupt keratinization) admixed with cholesterol clefts, histiocytes & collections of giant cells.

Probably,Epidermal inclusion cyst with foreign body giant cell reaction. D/D 1.Proliferating epidermoid cyst 2.Trichilemmal(Pilar) cyst.

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proliferating trichlemmal cyst cholesterol clefts macropgages keratin granuloma.

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also called Isthmus catagen cyst orvpilar cyst.

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Trichlemmal cyst with atypia

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pilar cyst with giant cell reaction

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Trichelimmal cyst. abrupt keratinisation seen.

Trichilemmal cyst.

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Trichilemmal cust with foreign body giant cell reaction

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Trichilemmal cyst

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