If the neoplasm does not communicate with the skin surface it appears as an encapsulated intradermal mass. If the tumour wall becomes disrupted, keratin leaks into the surrounding tissues, evoking a '''foreign body reaction''' and a severe inflammatory response. | If the neoplasm does not communicate with the skin surface it appears as an encapsulated intradermal mass. If the tumour wall becomes disrupted, keratin leaks into the surrounding tissues, evoking a '''foreign body reaction''' and a severe inflammatory response. |