Cases of sclerosing lipogranuloma have been reported with increasing frequency in recent medical writings,* but we have not been able to find an account of this condition in dermatologic journals despite the fact that involvement of the skin and subcutaneous tissues frequently directs the patient to the dermatologist.
A white man aged 57 first noted a white streak on the scrotum about 10 years ago. There was no history of trauma or lipoid injection in or about this area. A left inguinal hernia had existed for several years, but the patient did not wear any supporting belt. The skin lesion enlarged slowly, and in 1947 was described as a half-dollar-sized rubbery swelling in the skin of the left side of the scrotum. Clinical diagnoses of lymphangioma, localized lymphedema, and fatty tumor were considered. This scrotal lesion was excised