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Case of the Week 609



What is the most likely diagnosis?

  • 42 year-old with lump on head



Axial CT Scans of Head - Bone Window

  1. Multiple Myeloma
  2. Osteoma
  3. Fibrous Dysplasia
  4. Cephalohematoma
  5. Dermoid Cyst of Skull

Additional Image - Scout Image of Skull from CT Scan of Head

 

Additional Images

 

Scout Image of Skull from CT Scan of Head


Answer:


5.Dermoid Cyst of Skull

 

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Dermoid Cyst of the Skull


General Considerations

  • Benign, slow-growing tumors of the skull (“cyst” and “tumor” are used interchangeably)
  • Believed to occur secondary to aberrant epidermal or dermal inclusion in the calvarium
  • Although rare, it is still , along with Langerhans cell histiocytosis, one of the more common lesions in the pediatric skull

MORE . . .


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