“…It occurs predominantly on the scalp [McGavran and Binnington, 1966;Pinkus, 1969], is easily enucleated and appears as a firm, smooth, whitewalled cyst without a punctum [Leppard and Sanderson, 1976;Leppard et al, 1977]. Benign, relatively uncommon, invasive proliferating trichilemmal tumors [Naik et al, 1990;Hendricks et al, 1991;Laing et al, 1991;Reis et al, 1993;Sleater et al, 1993] and rare cases of metastasizing proliferating trichilemmal cysts [Weiss et al, 1995;Park et al, 1997] have been reported. This is an autosomal dominant trait [Leppard et al, 1977], but it does not yet have its separate entry in the OMIM database.…”