Beyond the Surface: A Chronic Polypoid Mass Over the Lower Back That Finally Spoke!

Authors

  • Archana Shetty Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education & Research, Dayananda Sagar University, Ramanagara, Karnataka 562112, India
  • Arjun Rao Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education & Research, Dayananda Sagar University, Ramanagara, Karnataka 562112, India
  • Sharath Kumar Department of Surgery, Dr. Chandramma Dayananda Sagar Institute of Medical Education & Research, Dayananda Sagar University, Ramanagara, Karnataka 562112, India
  • Aparna Muralidhar Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education & Research, Dayananda Sagar University, Ramanagara, Karnataka 562112, India
  • Zeeshan Sheik Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education & Research, Dayananda Sagar University, Ramanagara, Karnataka 562112, India

DOI:

https://doi.org/10.31344/ijhhs.v9i4.871

Keywords:

Adipose tissue, hamartoma, lipoma, polyps.

Abstract

Nevus Lipomatosus Superficialis (NLS) is an uncommon benign hamartomatous lesion characterized by ectopic adipose tissue within the dermis. Accurate diagnosis relies on histopathology, as clinical features may overlap with other common benign cutaneous tumours having fibrous and adipose tissues. We report a case of a 60-year-old male who presented with a longstanding, asymptomatic, soft, skin-covered polypoid mass over the lower back. The lesion, present for fifty years had progressively enlarged in size over several years without associated pain or ulceration. Clinical examination revealed a soft, cerebriform mass with a wrinkled surface. Histopathological analysis demonstrated mature adipocytes embedded within the collagenous dermis, confirming the diagnosis of NLS. This case highlights the importance of considering NLS in the differential diagnosis of soft, cutaneous lesions in adults. Recognition of this entity is critical to prevent misinterpretation. Complete surgical excision remains the treatment of choice and has an excellent prognosis with low recurrence rates.

International Journal of Human and Health Sciences Vol. 09 No. 04 Oct’25 Page: 265-268 

 

Author Biographies

Archana Shetty, Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education & Research, Dayananda Sagar University, Ramanagara, Karnataka 562112, India

 

 

Arjun Rao, Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education & Research, Dayananda Sagar University, Ramanagara, Karnataka 562112, India

 

 

Sharath Kumar, Department of Surgery, Dr. Chandramma Dayananda Sagar Institute of Medical Education & Research, Dayananda Sagar University, Ramanagara, Karnataka 562112, India

 

 

Aparna Muralidhar, Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education & Research, Dayananda Sagar University, Ramanagara, Karnataka 562112, India

 

 

Zeeshan Sheik, Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education & Research, Dayananda Sagar University, Ramanagara, Karnataka 562112, India

 

 

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Published

2025-11-01

How to Cite

Shetty, A., Rao, A., Kumar, S., Muralidhar, A., & Sheik, Z. (2025). Beyond the Surface: A Chronic Polypoid Mass Over the Lower Back That Finally Spoke!. International Journal of Human and Health Sciences (IJHHS), 9(4), 265–268 . https://doi.org/10.31344/ijhhs.v9i4.871

Issue

Vol. 9 No. 4 (2025)

Section

Case Report

License

Copyright (c) 2025 Archana Shetty, Arjun Rao, Sharath Kumar, Aparna Muralidhar, Zeeshan Sheik

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