DÄ internationalArchive43/2021Perianal Localized Nevus Lipomatosus Cutaneus Superficialis

Clinical Snapshot

Perianal Localized Nevus Lipomatosus Cutaneus Superficialis

Dtsch Arztebl Int 2021; 118: 736. DOI: 10.3238/arztebl.m2021.0073

Zhou, X; Liu, S; Liu, Y

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(a) Physical examination showed a pediculated mass measuring approx. 1.5 × 1.0 cm in the perianal region; (b) Postoperative histological analysis confirmed the diagnosis of nevus lipomatosus cutaneus superficialis.
Figure
(a) Physical examination showed a pediculated mass measuring approx. 1.5 × 1.0 cm in the perianal region; (b) Postoperative histological analysis confirmed the diagnosis of nevus lipomatosus cutaneus superficialis.

A 48-year-old man with a 3-year history of perianal mass presented to our institution with a growth in the perianal region gradually increasing in size. Physical examination revealed a pediculated mass measuring approx. 1.5 × 1.0 cm, soft and with no hardened areas, pressure sensitivity, or excessive heat. Considering the volume of the mass and the possibility of malignant transformation, surgical excision was performed at. The postoperative pathology result was consistent with nevus lipomatosus cutaneous superficialis (Hoffmann-Zurhelle). The postoperative one-month follow-up visit was uneventful and showed no postoperative complications. Nevus lipomatosus cutaneous superficialis (NLCS) is an extremely rare benign hamartomatous skin tumor characterized by dermal deposition of mature adipose tissue. We recommend surgical excision of the NLCS if the lesion is rapidly enlarged or occurs at a site susceptible to malignant transformation.

Xi Zhou*, MD, Shuzhong Liu*, MD, Yong Liu, MD, Department of Orthopaedic Surgery, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China; liuyong_pumch@163.com.

*These authors contributed equally to this work..

Conflict of interest statement: The authors declare that no conflict of interest exists.

Translated from the original German by Christine Rye.

Cite this as: Zhou X, Liu S, Liu Y: Perianal localized nevus lipomatosus cutaneus superficialis. Dtsch Arztebl Int 2021; 118: 736. DOI: 10.3238/arztebl.m2021.0073

(a) Physical examination showed a pediculated mass measuring approx. 1.5 × 1.0 cm in the perianal region; (b) Postoperative histological analysis confirmed the diagnosis of nevus lipomatosus cutaneus superficialis.
Figure
(a) Physical examination showed a pediculated mass measuring approx. 1.5 × 1.0 cm in the perianal region; (b) Postoperative histological analysis confirmed the diagnosis of nevus lipomatosus cutaneus superficialis.