Pigmented follicular cyst

Deba P Sarma, MD Omaha

F 28, vulva

Dermal cyst shows a pore-like opening to the surface. It contains laminated keratin and multiple pigmented hair shafts.

Cyst contains laminated keratin and multiple pigmented hair shafts.

Multiple pigmented hair shafts in the cyst

Pigmented follicular cyst

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Rare epithelial cyst occurring as a single asymptomatic pigmented papule or dermal nodule on the head and neck of adult male. Dermal cyst shows a pore-like opening to the surface. Cyst contains laminated keratin and multiple pigmented hair shafts. Cyst lining shows stratified squamous epithelium showing epidermal keratinization as well as trichilemmal epithelium showing infundibular keratinization.