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Living with Proliferating trichilemmal cyst

A usually benign (noncancerous) growth from a hair follicle, most often found on the scalp of older women.

Understanding Proliferating trichilemmal cyst

Proliferating trichilemmal cyst, also called proliferating trichilemmal tumor (PTT), is a benign tumor that starts in a hair follicle.

Though benign, it may be locally aggressive, and in very rare cases it can become malignant. It usually appears as one growth in older women. It isn't painful, but it can grow large and press on and damage nearby skin, causing wounds and foul-smelling discharge. About 90% are on the scalp.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • A skin growth, most often on the scalp
  • Open sores on the skin (ulcers)
  • Sparse hair over the growth
  • Foul-smelling discharge if the skin is damaged

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include cancer specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Cancer specialists (oncologists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Skin Disease Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Does my growth need to be removed or checked?
How can I tell if it is changing in a worrying way?
Which specialist, such as a skin doctor, should I see?

Quick facts

Symptoms usually startAdult

GARD doesn't describe a cause for this condition yet. It says the tumor starts in the hair follicle.

Skin

Also known as: pilar cyst; pilar tumor; pilar tumour; proliferating pilar cyst; proliferating pilar tumor; proliferating pilar tumour

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Proliferating trichilemmal cystGARD ID 4509 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Proliferating trichilemmal cyst.

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