Abstract
Extracalvarial epidermal cysts are benign, uncommon type of tumors. Their incidence
is around 0.2 to 1%. They are usually asymptomatic except for the absurd swelling
over the scalp, which is associated with headache and rarely neurological deficits.
Proper radiological diagnosis with accurate surgical approach and excision with capsule
gives a good prognosis and prevents recurrence. Here we present the case of a 75-year-old
gentleman with a large swelling over the scalp with mild pain. Surgical excision of
the tumor with capsule was done followed by cranioplasty. The histopathology was consistent
with an epidermal cyst. Case reports pertaining to such conditions are few.
Keywords
bony erosion - extracalvarial epidermal cyst - giant swelling
