Multiple Pilar Cysts of the Scalp in a 36-Year-Old Female
Village Dermatology | Katy & Houston, Texas
Overview
A 36-year-old female returned to Village Dermatology with concerns about several firm bumps on her scalp that had slowly developed over the past few months. She reported a history of similar scalp cysts that were previously removed, prompting evaluation to confirm the diagnosis and discuss management options.
This case highlights the diagnosis and treatment planning for pilar cysts, a common benign scalp condition.
Clinical Evaluation
A focused scalp examination was performed with dermoscopic evaluation. The patient appeared healthy, well-nourished, and in no acute distress.
On examination, three discrete, firm, subcutaneous nodules were identified on the scalp. These lesions were smooth, non-inflamed, and consistent with benign cysts arising from the hair follicle.
Diagnosis: Pilar Cysts
Based on clinical findings and patient history, the lesions were diagnosed as pilar cysts—benign keratin-filled cysts that commonly occur on the scalp and may be multiple or recurrent. Pilar cysts often have a genetic predisposition and are more frequently seen in women.
The cysts measured approximately:
0.5 cm on the right frontal scalp
0.7 cm on the left frontal scalp
0.6 cm on the left parietal scalp
Treatment Plan
The benign nature of pilar cysts was reviewed in detail. Because the lesions were bothersome and the patient had a prior history of cyst excisions, she elected to proceed with surgical removal.
Management plan included:
Scheduling an in-office cyst excision
Counseling on the minor surgical procedure, healing expectations, and scarring
Reassurance that no specific skincare or medical treatment is required prior to excision
Patient Education & Counseling
The patient was counseled that:
Pilar cysts are non-cancerous
They may slowly enlarge over time
Treatment is optional unless cysts become painful, inflamed, or cosmetically bothersome
She was advised to contact the office if any cyst becomes red, tender, or ruptures, which may indicate inflammation or infection.
Expert Scalp Care in Katy & Houston
Scalp cysts are a common concern and can often recur without proper evaluation. At Village Dermatology, we offer expert diagnosis and in-office surgical treatment for benign scalp lesions in a safe, comfortable setting.
If you have bumps on the scalp or recurrent cysts, our dermatology team in Katy and Houston, Texas is here to help.
