Sclerosing lipogranuloma of the scalp: A report of two cases

The authors report two cases of sclerosing lipogranuloma of the scalp diagnosed postmortem. The first was suspected to have acquired the lipid material from a grease gun injury to the scalp, while the second had received injections of an unidentified lipid for treatment of baldness. In each, the resultant sclerosing lipogranuloma extended laterally beneath the scalp from the vertex of the skull. The histologic reaction was found to oval cystic spaces within a dense collagenous stroma typical of the 'swiss cheese' pattern of sclerosing lipogranuloma. Punctate, ringlike, or globoid densities were seen on roentgenograms of a 5-mm-thick transmural section of scalp in the first case.