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Nevus Lipomatodes. Presented by Dr. F. Blumenthal and Staff of Wayne County General Hospital.
The patient is a 16-year-old white girl. Approximately four years ago she noted a swelling on the right posterior thigh. Since first discovered the lesion has grown slowly. The patient feels that the right leg has increased in size during this period of time. The lesion has produced no symptoms.
Examination reveals soft grouped yellowish nodules of the posterior aspect of the right thigh. The grouped nodules have a linear configuration. Clinically there appears to be some increase in the size of the involved leg, but actual measurement of the circumference of the legs demonstrates that the right leg (the affected leg) is 1 in. smaller than the left.
The biopsy shows as the only pathologic feature groups of normal fat cells in the middle and upper corium.
DISCUSSION
Dr. Coleman Mopper: I originally made the