A Pilar Cyst* looks identical on examination to the more common epidermoid cyst, except that 90% of them occur on the scalp. They tend to be more mobile and firmer than epidermoid cysts, and are derived from a different part of the hair follicle/skin. The internal content tend to be more “homogenous”/ smooth (looks different under the microscope), but it is also a benign growth. It is not uncommon to have multiple pilar cysts on the scalp and to have other family members to have these cysts (tend to run in families). Treatment is for cosmetic reasons usually (people don’t like the appearance of them), and excision with removal of the cyst and it’s contents is curative. However, this is not a pilar cyst, but an epidermoid cyst, and this was confirmed with microscopic pathology. It's still a benign growth, but this is why the wall of the cyst is thinner and more friable. * aka a trichilemmal cyst, an isthmus-catagen cyst, or a “wen” Thank you so much for watching! Subscribe to my Dermatology educational channel, Dr Pimple Popper University! Link is here: https://www.youtube.com/channel/UCvaD01Jb_ruxsAcVqVmTHzQ To buy your own Official Dr. Pimple Popper Comedone Extractor, click here: https://www.drpimplepopper.com/product/extractor/ For more content, exclusive content, and of course to get more Dr. Pimple Popper schwag, visit us at www.drpimplepopper.com! Instagram: @DrPimplePopper for 24/7 pops @DrSandraLee for my work, my life, my pops Facebook: facebook.com/DrSandraLeeDermatology Twitter: @SandraLeeMD Snapchat: drpimplepopper Periscope: Dr. Sandra Lee You can watch my TV appearances here: https://www.youtube.com/channel/UCOixDRVQAsKe4STSuWU8U0Q This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
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