Giant Papilloma OR Nevus Lipomatosus Superficialis: An Incidental Finding in a Patient with Chronic Obstructive Pulmonary Disease

Abstract

A 65-year-old female presented to the Department of Respiratory Medicine with chief complaints of breathlessness {modified Medical Research Council (mMRC) Dyspnoea Scale Grade 2} [1] for seven days and cough with mucoid expectoration for 15 days. She was a known case of Chronic Obstructive Pulmonary Disease (COPD) and was on regular medication for the same. On general examination, a mass-like structure was seen protruding from her middle back. Upon further inspection, it was identified as a cauliflower-like mass, approximately 10x15 cm in size, with a stalk [Table/Fig-1]. The mass had a smooth surface and was skin-coloured, painless, and non tender. No foreign body was present. The patient first noticed the mass two years ago, while bathing. Initially, it was a small non tender swelling the size of a pea, which gradually grew to its present size. The mass did not cause any pain or disruption in daily activities, except for minimal discomfort , while lying on her back due to its size. As a result, the patient did not seek medical attention for it. Surgery and dermatology opinions were obtained, and a working diagnosis of squamous cell papilloma vs nevus lipomatosus cutaneous superficialis was made. The patient declined surgical intervention, and thus, a confirmed histopathological diagnosis could not be established.

Keywords

• benign tumour
• cauliflower-like growth
• hamartoma
• human papillomavirus