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SKINDIA QUIZ
Year : 2019  |  Volume : 10  |  Issue : 3  |  Page : 349-350  

SkIndia Quiz 51: Asymptomatic firm cerebriform swelling over the lower back


Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India

Date of Web Publication17-May-2019

Correspondence Address:
Savita Yadav
Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/idoj.IDOJ_190_17

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How to cite this article:
Singh S, Parambath N, Yadav S. SkIndia Quiz 51: Asymptomatic firm cerebriform swelling over the lower back. Indian Dermatol Online J 2019;10:349-50

How to cite this URL:
Singh S, Parambath N, Yadav S. SkIndia Quiz 51: Asymptomatic firm cerebriform swelling over the lower back. Indian Dermatol Online J [serial online] 2019 [cited 2019 Jun 16];10:349-50. Available from: http://www.idoj.in/text.asp?2019/10/3/349/254341



A 25-year-old male presented with asymptomatic, slowly progressive, giant swelling over the right lower back since last 4 years. There was no history of any locoregional or systemic complications. Mucocutaneous examination revealed single, well-defined, firm, protuberant, swelling of size 20 × 10 cm with very prominent cerebriform surface over the right lower back. There were discrete areas of darker pigmentation over the surface of the plaque. The plaque had a close resemblance to the brain (cerebriform) in form of very deep as well as superficial sulci and gyri [Figure 1]a. Lesion started as a single lump and gradually increased in size over the past 4 years. Systemic and other mucocutaneous examinations were within normal limits. Histopathology showed mature adipocytes in the upper, mid, and deep dermis in the perivascular and periadnexal location and between the collagen bundles [Figure 1]b and [Figure 1]c.
Figure 1: (a) Involvement of right lower back in form of single, well-defined, hyperpigmented, firm, protuberant, swelling of size 20 × 10 cm with prominent cerebriform surface. (b) Collection of mature adipocytes in upper, mid and deep dermis (Hematoxylin and Eosin, ×40). (c) Collection of mature adipocytes in upper and mid dermis in perivascular location (Hematoxylin and Eosin, ×100)

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   Question Top


What is the diagnosis?



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