Pilar cyst (Trichilemmal cyst

)
Deba P Sarma, MD Omaha

Pilar cyst

Dermal cyst lined by pale eosinophilic trichilemmal epithelium with no granular layer and abrupt keratinization. Cyst contains compact keratin like that of hair.

Pilar cyst

Compare the compact keratin of pilar cyst and normal hair keratin

Pilar cyst

Pale epithelial cells with rounded contours extending into abrupt keratinization

Pilar cyst

Focal calcification and cholesterol clefts in the compact keratin

COMPARE WITH EPIDERMAL CYST

Normal skin with basket-weave type keratin and granular layer

Epidermal cyst lined by normal epidermis with granular layer and the cyst contains flaky (basketweave) keratin

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