Sclerosing lipogranuloma
This name is given to a granulomatous inflammatory reaction occurring in subcutaneous fat which for various reasons
has undergone necrosis. The lesions are often secondary to subcutaneous injection of oily substances in the female
breast or male genitalia. This was a scrotal lesion of undetermined cause. Note, in photo A, fat cells and a
granulomatous reaction with prominent giant cells, fibrosis with hyalinization. In photo B, eosinophils are present.