Pigmented Cystic Masses on the Scalp

A 67-year-old man presented to the dermatology clinic with 3 asymptomatic pigmented papules on the scalp.The patient reported that he was unaware of the lesions until they were pointed out weeks earlier by his primary care physician during a routine visit.He then was referred to dermatology for follow-up.Physical examination at the current presentation revealed clustered firm, smooth, well-circumscribed, pigmented papules on the scalp measuring 5 to 8 mm.The patient reported no personal or family history of skin cancer but stated that he spent a lot of time outdoors and had a history of 6 blistering sunburns in his life.A punch biopsy of each lesion was performed.WHAT'S YOUR DIAGNOSIS?a. apocrine hidrocystoma b. blue nevus c. melanoma d. pigmented basal cell carcinoma e. seborrheic keratosis

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Publication Details

Journal
Cutis
Published
2025-05-01
DOI
https://doi.org/10.12788/cutis.1221
Primary Topic
Cancer and Skin Lesions
Type
article
Field-Weighted Citation Impact
0.00
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article

Pigmented Cystic Masses on the Scalp

Georgia E Williams
Cutis
Cancer and Skin Lesions
article

Pigmented Cystic Masses on the Scalp

Georgia E Williams
article en

Abstract

A 67-year-old man presented to the dermatology clinic with 3 asymptomatic pigmented papules on the scalp.The patient reported that he was unaware of the lesions until they were pointed out weeks earlier by his primary care physician during a routine visit.He then was referred to dermatology for follow-up.Physical examination at the current presentation revealed clustered firm, smooth, well-circumscribed, pigmented papules on the scalp measuring 5 to 8 mm.The patient reported no personal or family history of skin cancer but stated that he spent a lot of time outdoors and had a history of 6 blistering sunburns in his life.A punch biopsy of each lesion was performed.WHAT'S YOUR DIAGNOSIS?a. apocrine hidrocystoma b. blue nevus c. melanoma d. pigmented basal cell carcinoma e. seborrheic keratosis

CutisVol. 115(5)
The University of Texas at Austin (US)
Openalex Percentile: Top 76%
Cancer and Skin Lesions
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