Abstract
Pilar cysts are common cysts on the scalp and hair bearing area of the body. We found one such cyst on the dorsum of the thumb. There have been previous reports of them in the finger tips as a very rare occurrence. The site of this lesion supports the theory of a possible origin from the nail matrix. These lesions, even when found at unusual sites should have pilar cyst as a differential diagnosis. They must always be excised and subjected to careful histopathology to rule out proliferating trichilemmal cysts, which carry a rare risk of malignancy.
Highlights
Cystic lesions of the skin are one of the most common lumps involving the skin and adnexal tissues.[1]
The most common term used is sebaceous cyst, which now is acknowledged as two types of cysts including epidermal cysts, that arise from the epidermis and pilar cysts that arise from the piliary apparatus
We present a case of pilar cyst in an extremely rare location
Summary
Pilar cysts are common cysts on the scalp and hair bearing area of the body. We found one such cyst on the dorsum of the thumb. There have been previous reports of them in the finger tips as a very rare occurrence. The site of this lesion supports the theory of a possible origin from the nail matrix. These lesions, even when found at unusual sites should have pilar cyst as a differential diagnosis. World J Plast Surg 2019;8(2):259-261. doi: 10.29252/ wjps.8.2.259
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