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Case 38: Scalp lesion

Slowly growing in size, this lesion also has had two episodes of becoming painful and red.

1. What is the likely diagnosis?

Sebaceous cyst

2. What characteristic features on examination would make your diagnosis?

1.Punctum.
2.Soft fluctuant consistency
3.Fixed to overlying skin from which it has derived
4.Not fixed to deeper structures and not hard (like and Osteoma)

3. How would you manage this lesion?

Simple excision including an ellipse of skin to remove the punctum.