Scalp Mass: Causes & Reasons

Possible Causes for Scalp Mass

The patient in the current study initially presented with a scalp mass. [spandidos-publications.com]

The scalp nodule and left parotid mass significantly reduced in size following the chemotherapy, and was considered to be a partial response (PR). [spandidos-publications.com]

Cephalhematoma

A 5×5-cm 2 mass was located on the right temporal region of his scalp. The mass was soft and non-tender without signs of inflammation. [bmcinfectdis.biomedcentral.com]

[…] developing over the scalp (especially over the occiput). [emedicine.medscape.com]

[…] occurrence of these features does not significantly correlate with the severity of subgaleal hemorrhage. [5] The diagnosis is generally a clinical one, with a fluctuant, boggy mass [emedicine.medscape.com]

Dermoid Cyst

Cysts in the scalp are usually painless, moveable, rubbery masses that may slowly increase in size over time. The skin over the cyst is usually normal. [chadkids.org]

[…] they are often adherent to the periosteum or form a bulging mass over the anterior fontanelle Images Please click on images to enlarge or download. [pcds.org.uk]

[…] also be intra-cranial, intra-abdominal or arise in other parts of the body Morphology of cutaneous cysts Firm skin-coloured swellings Can be several cm in diameter On the scalp [pcds.org.uk]

Perifolliculitis Capitis Abscedens

Case Report An 86-year-old woman reported having had purulent scalp lesions for approximately one year. She denied trauma or a preceding herpes zoster. [medicaljournals.se]

Computed tomography (CT scan) confirmed the presence of a mass arising from the right colon with infiltration of the subcutaneous tissue by this intra-abdominal mass... [read.qxmd.com]

Such lesions often resolve with scarring alopecia. (53,56) Tinea capitis favosa is a chronic inflammatory dermatophyte infection of the SC scalp and, less commonly, glabrous [docksci.com]

Carbuncle

[…] carbuncle (kɑːʳbʌŋkəl ) Word forms: plural carbuncles countable noun A carbuncle is a large swelling under the skin. Collins COBUILD Advanced Learner’s Dictionary. Copyright © HarperCollins Publishers carbuncle in British English (ˈkɑːˌbʌŋkəl ) noun 3. a dark reddish-greyish-brown colour Collins English Dictionary.[…] [collinsdictionary.com]

Proliferating Trichilemmal Cyst

The patient was discharged in stable condition and was doing well at the 6-month follow-up visit, without recurrence of the scalp mass. [neurologyindia.com]

We present the case of a 69-year-old woman with a 25-year history of multiple enlarging scalp masses. [ajnr.org]

They are rare, slowly growing, lobular masses inherited autosomal dominantly and localized on scalps of older women and believed to arising as a complication of a trauma and [scienceopen.com]

Epidermoid Cyst

A case of choroidal epithelial cyst of the prepontine region is reported. The cyst wall was studied using light and electron microscopy. Electron microscopy revealed that the lining of the cyst consisted of a single layer of epithelial cells resting on a basement membrane. The epithelial cells contained numerous[…] [ncbi.nlm.nih.gov]

Ingrown Hair

Ingrown hair is a condition where a hair curls back or grows sideways into the skin. The condition is most prevalent among people who have coarse or curly hair. It may or may not be accompanied by an infection of the hair follicle (folliculitis) or "razor bumps" (pseudofolliculitis barbae), which vary in size. While[…] [en.wikipedia.org]

Subgaleal Hemorrhage

A fluctuant scalp mass with increasing head circumference may be seen on palpation. [radiopaedia.org]

Cutaneous Meningioma

(a) A slowly growing asymptomatic mass over scalp on the right parieto-occipital region. [ncbi.nlm.nih.gov]

Case Report A 40-year-old woman presented with a slowly growing asymptomatic mass over the scalp in the right parieto-occipital region. [ncbi.nlm.nih.gov]

Here, we report the case of a 40-year-old woman who presented with a slowly growing asymptomatic mass over the scalp in the right parieto-occipital region. [ncbi.nlm.nih.gov]

Pseudovascular Skin Squamous Cell Carcinoma

mass Exophytic mass Inoperable tumor Nasal cavity mass Gross images Images hosted on other servers: Resected tumor and mandible Microscopic (histologic) description Carcinoma [pathologyoutlines.com]

[…] electrodessication, cryotherapy, radiation therapy (J Cutan Pathol 2016;43:994) Immunotherapy if inoperable (JAAD Case Rep 2019;5:491) Clinical images Images hosted on other servers: Scalp [pathologyoutlines.com]

Cutaneous Pseudolymphoma

We report a case of a child with a scalp mass diagnosed as CPL. [experts.umn.edu]

Cutaneous pseudolymphoma: an unusual presentation of a scalp mass. Pediatr Blood Cancer 2009;52:283–5. Ploysangam T, Breneman DL, Mutasim DF. Cutaneous pseudolymphomas. [archivesofrheumatology.org]

Mucinous Eccrine Carcinoma

Definition / general Also called adenocystic carcinoma Scalp of elderly patients Caucasian > Black > Asian Case reports 50 year old woman with gluteal mass (Indian J Pathol [pathologyoutlines.com]

Microbiol 2009;52:225) 51 year old woman with slowly growing scalp nodule (Case of the Week 413) 58 year old Jamaican man with mass on left cheek (Dermatol Surg 2011;37:1192 [pathologyoutlines.com]

Dermal Tumor

We present the case of a giant solitary cylindroma on the scalp of a patient of 89 years-old of long evolution and of asymptomatic character. [pesquisa.bvsalud.org]

Sporadic solitaires with an average size of 5 y 10 mm, exceptionally they can acquire a large size and b) Multiple hereditary tumors, which can evolve into a large tumor mass [pesquisa.bvsalud.org]

Pediatric Angiosarcoma

Case Presentation A one-month-old boy born by caesarean section presented with large scalp mass (3 × 3 cm). [brieflands.com]

Physical examination was unremarkable except the mentioned scalp mass measuring about 3 × 3 cm in the left parietal area. [brieflands.com]

His mother noticed the mass 2 days after birth as a very small insignificant nodule, but it grew rapidly afterward. [brieflands.com]

Postauricular Lymphadenitis

Causes Local infection Tinea Capitis Pediculosis capitis (Lice) Seborrheic Dermatitis Secondary Syphilis Neoplasm including metastases Lymphoma Other Neck Masses Cystic Hygroma [fpnotebook.com]

Signs: Occipital or Suboccipital nodes (base of skull, below occiput) Suboccipital Lymphadenopathy may causes Headache Drainage Pattern Back of Scalp and Head Lymphadenopathy [fpnotebook.com]

Signs: Postauricular nodes (behind pinna of ear) Drainage Pattern External auditory meatus Posterior Ear Pinna Temporal Scalp Lymphadenopathy Causes (Local infection) Otitis [fpnotebook.com]

Tinea Barbae

Tinea barbae may also occur as an inflammatory kerion (a large, boggy scalp mass caused by a severe inflammatory reaction to the dermatophyte) that can result in scarring [msdmanuals.com]

Congenital Fibrosarcoma

Indian J Surg Oncol 5:297–299 Article PubMed Google Scholar Brohi SR, Dilber M (2012) Congenital osteolytic fibrosarcoma of dura presenting as scalp mass. [link.springer.com]

Childs Nerv Syst 22:300–304 Article PubMed Google Scholar Kumar R, Jagdewan A, Sharma MC (2014) Congenital infantile fibrosarcoma of scalp. [link.springer.com]

Occipital Encephalocele

Differential diagnosis Scalp masses, cystic hygroma, amniotic band syndrome. Associated anomalies Meckel-Gruber syndrome, Walker-Warburg syndrome, Knobloch syndrome. [thefetus.net]

CSF tract and vertical falcine vein point to the subcutaneous scalp mass vertically oriented primitive falcine vein fibrous stalk connecting the cephalocele focal fenestration [radiopaedia.org]

Three biopsies were done; one from scalp mass, the second one from melanocytic plaque of anterior chest, and the third one from nodules over the melanocytic plaque. [e-ijd.org]

Periocular Meningioma

Calvarium lesions typically do not present with symptoms but may be noted as a hard scalp mass. [reviewofoptometry.com]

Cutaneous Metastasis in Breast Cancer

Due to these rates, the preliminary diagnosis of the skin metastasis of breast cancer can be overlooked in case of a scalp mass, and this can result in inadequate or extra [ingentaconnect.com]

Kuwayama T et al in 2011 (30) reported a case of 62-years-old woman who had presented with a 3 cm hard, alopecic mass at her scalp. [jemds.com]

Kidney cancer, when it metastasizes to the skin, can involve the skin of the scalp, the front of the chest, the back, arms, and legs. [dovemed.com]

Cranial Meningocele

Since that time, a number of investigators had reported small, skin-covered midline sub scalp masses or cysts variably described as atretic cephaloceles, atypical meningoceles [austinpublishinggroup.com]

[…] that is unilateral discoloration may or may not be present erythematous and fluctuant scalp mass is concerning for infection ( Escherichia coli is the most common causative [medbullets.com]

In addition, the following diagnostic entities should be considered as part of the differential diagnosis for a "calvarial mass": cystic hygroma, scalp edema, teratomas, hemangiomas [fetalsono.com]

White Lock of Occipital Hair

Histopathologic examination from this subcutaneous mass revealed neurofibromatous tissue with a diffuse infiltrative growth. [koreamed.org]

[…] gilhospital.com Abstract A 37-year-old man presented with a 1-year history of asymptomatic ill-defined subcutaneous thickening with overlying whitish hairs on right occipital scalp [koreamed.org]

Proximal-Type Epithelioid Vulvar Sarcoma

(Eur Urol 2006;49:406) 80 year old man with a painful swollen mass in his scalp (Int J Clin Exp Pathol 2019;12:3908) Treatment Wide surgical excision remains the mainstay [pathologyoutlines.com]

[…] old woman with an abnormal, lobulated and lumpy signal in the intrasellar region, suprasella and sphenoid sinus (Pathol Oncol Res 2019;25:201) 50 year old man with scrotal mass [pathologyoutlines.com]

Juvenile Xanthogranuloma

Biopsy of his scalp mass confirmed the diagnosis of juvenile xanthogranuloma. A 31-month-old boy presented with a limbal mass. [ncbi.nlm.nih.gov]

No iris mass was noted after hyphema subsided. There was a skin nodule over the scalp but no other skin lesion was identified (Fig a). [hkmj.org]

(a) Skin lesion (arrow) over the scalp of patient 1. [hkmj.org]

Kerion

Continue reading this article Select an option below: A healthy 5-year-old boy presented with a 3-month history of an inflammatory mass on the scalp that had not responded [nejm.org]

The clinical features consisted of painful inflammatory mass on the scalp with loose hairs, pustular discharge, sinus formation, mycetoma like grains and thick crusting. [aspergillus.org.uk]

Deep Dermatophytosis

extremity masses M. canis Pseudomycetoma ND ND Berg, 2007[ 44 ] 65 F Liver, kidney transplant; tacrolimus, corticosteroids Left knee papules M. canis Suppurative granulomas [academic.oup.com]

Tinea scalp infection also may result in a cell-mediated immune response termed a “kerion,” which is a boggy, sterile, inflammatory scalp mass. [aafp.org]

masses M. canis Mycotic granuloma griseofulvin (GSF) Topicals Surgery LTFU Baker, 1984 [ 22 ] 56 M Acute lymphocytic leukemia, prednisone, vincristine, chronic tinea Buttocks [academic.oup.com]

Tinea barbae and Tinea capitis

Tinea barbae may also occur as an inflammatory kerion (a large, boggy scalp mass caused by a severe inflammatory reaction to the dermatophyte) that can result in scarring [merckmanuals.com]

Kerion Dermatophyte infection occasionally leads to formation of a kerion, which is a large, boggy, inflammatory scalp mass caused by a severe inflammatory reaction to the [merckmanuals.com]

Kerion is an inflammatory mass of hair, exudate, fungus and granulation tissue that can mimic a squamous cell carcinoma, and is more common in children. [life-worldwide.org]

Cutis Verticis Gyrata-Intellectual Disability Syndrome

Pilar cysts and lipomas may form on the scalp, but typically are localized masses unlikely to cause uniform changes to the entire scalp. [aafp.org]

Oklahoma City, OK 73104 Selected Differential Diagnosis of Scalp DeformityCondition CharacteristicsCutis verticis gyrata Excess skin on scalpPilar cyst (wen) Cystic mass, [drplace.com]

A size of > 10 cms is seen in 1 out of 20,000 newborns. [6] The naevus may present as a convoluted mass over the scalp which may not be pigmented. [ijdvl.com]

Nasal Encephalocele

Scalp and calvarial masses Epidermoid and dermoid cysts click the images for more details Incidence Tumor-like masses and tumors of the scalp and the calvaria occur frequently [kco.unibe.ch]

Sinus pericranii and dermoid cysts are the most common lesions that are confused with atretic parietal encephaloceles as scalp masses [32]. [ejrnm.springeropen.com]

Differential diagnosis Illustrations In general, all existing scalp and calvarial masses of childhood have to be considered. [kco.unibe.ch]