Department of Otorhinolaryngology All India Institute of Medical Sciences, Bathinda, Punjab, India.
Department of Dermatology All India Institute of Medical Sciences, Bathinda, Punjab, India.
Skinmed. 2024 Aug 2;22(3):228-229. eCollection 2024.
A 25-year-old man presented with gradually increasing swelling of 15 years' duration on the left side of his neck. There had been occasional foul-smelling discharge from the swelling. Local examination revealed an 8 cm × 5 cm oblong-shaped, yellowish to skin-colored, soft, -cerebriform swelling. There were multiple open comedones (Figure 1a). The surrounding skin had small and soft skin-colored papules. On palpation, there was no ulceration, tenderness, induration, or bag of worms. A scar from the past surgery was visible. Systemic examina- tion was unremarkable. The differential diagnosis demonstrated plexiform neurofibroma and nevus lipomatosus cutaneous superficialis (NLCS; Figure 2).
一位 25 岁男性，因左侧颈部逐渐增大的肿块 15 年就诊。肿块偶尔有恶臭分泌物。局部检查发现一个 8cm×5cm 的长椭圆形、黄至肤色、柔软、呈脑回状的肿胀。有多个开放的粉刺（图 1a）。周围皮肤有小而柔软的肤色丘疹。触诊时，无溃疡、触痛、硬结或腊肠样感。可见过去手术的疤痕。全身检查无明显异常。鉴别诊断包括丛状神经纤维瘤和皮肤脂肪瘤性神经鞘瘤（NLCS；图 2）。
