A pilomatrixoma, also known as pilomatricoma, is a slow-growing, usually non-cancerous, skin tumor of the hair follicle. It is most common on the face and neck, but it may be on other parts of the body. A pilomatrixoma is usually a single lump, but occasionally, there may be more than one. Pilomatrixomas are more common in children and young adults than in older adults.
We Present a case of a large Pilomatrixoma on the front of the scalp in a 46-year-old female with a short history of only 6 months. Wide local excision was done under general anesthesia. Closure of the resultant defect done using a rotation scalp flap. Biopsy revealed a Pilomatrixoma, all margins were negative. Stitch lines healed completely with no areas with hairless scalp.