Dermal cylindroma is a common benign adnexal skin tumor. The most common location is scalp (almost 60% of cases) but the tumors may also be seen on the trunk and extremities. Rare locations include orbit, ear canal, abdomen, and breast. There is a marked female predilection. They present as solitary, slow growing, sometimes painful, dome-shaped nodules with associated telangiectasia causing pink or red appearance. Multiple nodules are seen in familial cases. The association of multiple cylindromas with facial trichoepitheliomas, eccrine spiradenoma and milia is known as Brooke-Spiegler syndrome (familial cylindromatosis; turban tumor syndrome) which is an autosomal dominant condition.