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Soft Papules and Nodules on the Buttock—Diagnosis
Arch Dermatol. 2007;143(12):1583-1588.
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Diagnosis: Nevus lipomatosus cutaneus superficialis (NLCS).
MICROSCOPIC FINDINGS AND CLINICAL COURSE
The histologic findings were similar in both specimens (Figure 2 and Figure 3). The epidermis was normal to slightly papillomatous, and there were aggregates of mature adipocytes in the deep dermis. These findings supported the clinical diagnosis. The patient was referred to a plastic surgeon and underwent excision of a 13 x 4-cm segment of the lesion under general anesthesia. The current plan is to continue staged excision until the lesion is completely removed.
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DISCUSSION
Nevus lipomatosus cutaneus superficialis is a rare idiopathic hamartomatous anomaly that was first described by Hoffmann and Zurhelle1 in 1921. Two clinical types of NLCS are recognized. The classic (or multiple) type1 usually presents within the first 3 decades of life. It consists of asymptomatic, grouped, soft, skin-colored to yellow papules, nodules, and plaques with a smooth, wrinkled, cerebriform or verrucous surface.2-3 The lesions tend to be unilateral, with a . . . [Full Text of this Article]
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Arch Dermatol. 2007;143(12):1583-1588.
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