Pakhan Aishwarya, Singh Sudhir, Dudhe Mayur, Patil Shweta
Dermatology, Datta Meghe Medical College, Nagpur, IND.
Cureus. 2024 Dec 3;16(12):e75054. doi: 10.7759/cureus.75054. eCollection 2024 Dec.
Nevus lipomatosus cutaneous superficialis (NLCS) is a rare dermatological condition characterized by ectopic mature adipocytes in the dermis. The classic variety presents multiple clustered skin-colored nodules, while the solitary form is a single papule or nodule. We report the case of a 25-year-old female who presented with multiple cerebriform nodules coalescing into a large plaque over the left iliac region that developed over 17 months. Lesions ranged from 0.5 cm to 6 cm in diameter. Histopathology confirmed classical NLCS. Treatment options were discussed, and serial surgical excision was opted for for a better cosmetic outcome. The largest nodule was excised under local anesthesia, while the remaining were removed six months later under short general anesthesia as daycare surgery. At the six-month follow-up, only a hypopigmented patch persisted at the surgery site. Serial excision allowed staged removal of this large classical NLCS for an excellent cosmetic result. Early diagnosis and conservative treatment prevent disfigurement and morbidity in this rare condition. Clinicians must recognize NLCS since therapeutic choices are restricted for widespread lesions of the classical subtype.
浅表性脂肪瘤样痣（NLCS）是一种罕见的皮肤病，其特征是真皮内有异位成熟脂肪细胞。典型类型表现为多个聚集的肤色结节，而单发形式则为单个丘疹或结节。我们报告了一例25岁女性病例，该患者在17个月内出现多个脑回状结节，融合成左髂区的一个大斑块。病变直径从0.5厘米到6厘米不等。组织病理学证实为典型的NLCS。讨论了治疗方案，为获得更好的美容效果选择了分期手术切除。最大的结节在局部麻醉下切除，其余结节在六个月后作为日间手术在短暂全身麻醉下切除。在六个月的随访中，手术部位仅残留一个色素减退斑。分期切除使得这个巨大的典型NLCS得以分阶段切除，从而获得了极佳的美容效果。早期诊断和保守治疗可防止这种罕见疾病导致毁容和发病。临床医生必须认识到NLCS，因为对于经典亚型的广泛病变，治疗选择有限。
