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Both epidermoid and pilar cysts are smooth round lumps which you can see and feel just beneath the skin surface. They are very common. Often they are small (pea size) but sometimes they slowly get bigger over many months to become a few centimetres in diameter. They look very similar to each other but can be distinguished from each other if the cells that form the cyst sac are looked at under the microscope.

Intracranial dermoid cyst | Radiology Reference Article | Radiopaedia.org

Intracranial dermoid cyst | Radiology Reference Article | Radiopaedia.org

Intracranial dermoid cyst | Radiology Reference Article | Radiopaedia.org

Intracranial dermoid cyst | Radiology Reference Article | Radiopaedia.org

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WK 4 L 2 DERMOID OR CYSTIC TERATOMA WITH "TIP OF THE ICEBURG SIGN" Mature (cystic) ovarian teratoma | Radiology Reference Article | Radiopaedia.org