The authors report a case of lipomatous naevus present for 35 years, and therefore probably congenital, in a 48 year old female patient. This bulging lesion was 2.5 cm in diameter with a slightly encephaloid appearance. The authors reviewed the limited literature on the subject in order to more clearly define this hamartomatous lesion which has a constant histological appearance, but very variable clinical and macroscopic features.
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