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To the Editor, We describe a 6-year-old boy who presented to our out-patient clinic with an enlarging mass on his limb, which he had had since birth. Dermatological examination revealed skin-colored, polypoid, approximately 2.5cm elevated, large plaque, measuring 5x4cm, on the posterior of his right thigh (Figure 1). Furthermore, smaller, discrete, similar papules were located around the mass. Otherwise, body regions were normal. The patient’s medical history was unremarkable and no family member had experienced a similar lesion. The large lesion was totally excised. Histopathological examination showed an acanthotic epidermis, flattening of retes, and mature adipocytes between collagen fibers in both the papillary and deep dermis (Figure 2). Drawing on clinical and histopathological findings, the patient was diagnosed with Nevus lipomatosus cutaneous superficialis (NLCS). At follow-up, the excision region healed with a cosmetically acceptable appearance. FIgure 1: Skin-colored, polypoid mass on the posterior of the right thighk

Giant polypoid mass on thigh: a child with nevus lipomatosus cutaneous superficialis