<s>[INST] i have Lump directly on top of your head that postion is where a cut was before from falling from your bike you noticed a lump ages after this cut healed after picking it for 6 years and now its 2010... and well its still their.. but now it actually hurts and ive lost hair litulary 2 days ago( with the roots.....) i noticed but hidden it from my parents as im scared plus it is a bald patch and people would also laugh :(... i have regular headaches through the day dont know it this is linked... what do i do? im scared, plus i really dont want to approach my parents... [/INST] Hi,Welcome to HCM. Based on the facts of your query,You seems to have post-traumatic scalp lump-which could be resolved hematoma with fibroma,or it could be Sebaceous Cyst/ or Inclusion Dermoid Cyst -post head trauma or could be post-trauma Keloid lump with hair loss apparently.Treatment would be -By Surgical Planned Excision of the Lump or Intra-Keloidal steroid subcuticular injectionsHope this would help you to plan treatment with your doctor.Contact with a Followup Premium question to ME.Will appreciate your Hitting  thanks and writing  excellent review comments to help needy patients like you. Good Day!Dr.Savaskar,Senior Surgical Specialist-M.S.Genl-CVTS </s>