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This cyst derives from the outer root sheath of the hair follicle and thus occurs in hair-bearing areas. It is more common in middle-aged women and is mobile within the dermis or as a small warty flesh-coloured papule.
Occasionally it may rupture and discharge. A single lesion may be mistaken for a cystic basal cell carcinoma. The cyst may be excised.
Multiple tricholemmal cysts may be associated with the autosomal dominant Cowden's syndrome, a rare condition that may be a marker for carcinoma of the breast, pancreas or thyroid.
This is a common benign lesion of the vulva in which there is …