A 59-year-old female presented to her General Practitioner (GP), Dr. A, with a longstanding lesion on her scalp. She had it for years but now she felt it was starting to get bigger and catching on her comb. Dr. A diagnosed it as a small 7-8 mm sized sebaceous cyst and advised her a minor surgery. Dr. A removed the lesion successfully on his minor surgery. He did not send the excised material to histology for further analysis.

Almost a year later, patient re-presented to the surgery with another cyst on her scalp, about the size of a marble. Another GP Dr. B prescribed antibiotics for an infected sebaceous cyst, but the swelling persisted and two months later, patient again requested for the removal of the cyst. This time Dr. B removed it through minor surgery. He also did not send the tissue to histology. Patient noticed ongoing discomfort around the scar on her scalp and came back to…