The patient’s scalp is accompanied by a hard small mass inside, not painful, generally common clinical reasons are mainly the following cases: a. local scalp follicles in accompanied by more secretions blocking the pores, can form a hard texture of small masses, the patient may not have obvious pain symptoms. It is recommended that the patient be surgically removed as soon as possible before the mass becomes infected, in order to avoid local mass infection, which can cause local pain, as well as a longer change of medication, affecting the patient’s normal life. Second, if the patient is accompanied by intracranial infection or local scalp hematoma, it can cause local lymph node reactive hyperplasia, which is manifested as a hard mass. The small lymph node masses can be relieved by themselves after the inflammation subsides and will not cause serious effects.