Indian Journal of Dermatology
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Year : 2014  |  Volume : 59  |  Issue : 2  |  Page : 205-206
Solitary pedunculated growth on a thigh


1 Department of Dermatology, Command Hospital and Armed Forces Medical College, Pune, India
2 Department of Pathology, Command Hospital and Armed Forces Medical College, Pune, India

Date of Web Publication21-Feb-2014

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.127701

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How to cite this article:
Verma R, Vasudevan B, Pragasam V, Moorchung N, Neema S, Gopal M. Solitary pedunculated growth on a thigh. Indian J Dermatol 2014;59:205-6

How to cite this URL:
Verma R, Vasudevan B, Pragasam V, Moorchung N, Neema S, Gopal M. Solitary pedunculated growth on a thigh. Indian J Dermatol [serial online] 2014 [cited 2019 Nov 14];59:205-6. Available from: http://www.e-ijd.org/text.asp?2014/59/2/205/127701


A 21-year-old female presented with complaints of insidious onset, gradually progressive asymptomatic swelling over the back of the left thigh for past five years. She first noticed a pea-sized swelling when she was 16 years old. The swelling gradually increased in size over 3 years to the present size and has remained static since then. General physical and systemic examination was unremarkable. Dermatological examination revealed a solitary well-defined dome-shaped pedunculated growth measuring 5 × 5 cm over the posterior aspect of the left upper thigh [Figure 1]. The lesion was firm in consistency, nontender, and there was no noticeable surface change.
Figure 1: Solitary pedunculated growth on the left thigh

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Excisional biopsy of the lesion was done. Histopathology revealed keratinized stratified squamous epithelium. Subepithelium showed fibrocollagenous tissue along with scattered adipose tissue within reticular dermis [Figure 2] and [Figure 3]. Scant mononuclear inflammatory infiltrate was also seen. No hyperpigmentation of basal layer, foamy histiocytes, giant cells, or grenz zone was seen. No atypical cells or evidence of malignancy was noted.
Figure 2: Histopathology of growth revealing keratinized stratified squamous epithelium with dermis showing fibrocollagenous tissue along with pockets of adipose tissue (H and E, ×10)

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Figure 3: High power view of the same (H and E, ×40)

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What is your diagnosis?



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   References Top

1.Abel R, Dougherty JW. Nevus lipomatosus cutaneous superficialis (Hoffman-Zurhelle); report of two cases. Arch Dermatol 1962;85:524-6.  Back to cited text no. 1
    
2.Jones EW, Marks R, Pongsehirun D. Naevus superficialis lipomatosus. A clinicopathological report of twenty cases. Br J Dermatol 1975;93:121-33.  Back to cited text no. 2
    
3.Finley AG, Musso LA. Naevus lipomatosus cutaneus superficialis (Hoffman-Zurhelle). Br J Dermatol 1972;87:557-64.  Back to cited text no. 3
    
4.Lane JE, Clark E, Marzec T. Nevus lipomatosus cutaneous superficialis. Pediatr Dermatol 2003;20:313-4.  Back to cited text no. 4
    
5.Al-Mutairi N, Joshi A, Nour-Eldin O. Naevus lipomatosus cutaneous superficialis of Hoffmann-Zurhelle with angiokeratoma of Fordyce. Acta DermVenereol 2006;86:92-3.  Back to cited text no. 5
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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