I often encounter many patients with scalp lumps in the clinic, and for the general public, it is inevitable that they are a bit overwhelmed, especially when the scalp lumps gradually become larger or break down, and they are certainly very nervous. Next, I’ll give you some information about scalp lumps. First of all, let’s get to know what scalp lumps are. Scalp lumps are tumors originating from skin and skin appendages, which are divided into benign tumors and malignant tumors, benign tumors are lipoma, epidermis-like cyst, sebaceous cyst, hemangioma, neurofibroma, etc. Malignant tumors are angiosarcoma, basal cell carcinoma, liposarcoma, squamous cell carcinoma, melanoma, etc. Benign tumors are more common and malignant tumors are less common. Malignant tumors are rare. Then, let’s talk about whether scalp tumors need surgery or not. Most of the patients we met in clinic are benign tumors, if the scalp lumps have not been obviously proliferated and there are no obvious symptoms, in this case, we can observe, of course, if the patients are not at ease, it is relatively simple to remove them surgically; however, if the scalp lumps continue to proliferate or have pressure pain, then surgery can be performed to remove them and do pathological examination. However, if the scalp lump continues to grow, or if there is pressure and pain, the lump can be surgically removed and pathological examination can be done to clarify the nature of the lump; in another case, if the lump grows rapidly and is black, and if there is bleeding, rupture or infection in the lesion, surgical removal can be performed immediately to clarify the nature of the lump and decide the next treatment plan. Therefore, the key to the need for surgery for scalp lumps is to look at the nature and performance of the lumps, to improve the relevant examinations, and to routinely improve the CT and ultrasound examination of the head, and to decide whether to operate according to the relevant examination results.