A 46-year-old man complained of multiple cystic bumps that had been present on his scrotum as long as he could remember. There was no itching, pain, or discharge. Despite having dyslipidemia and hypertension, he was not taking any medications. Family history was significant for paternal diabetes and lung cancer. Social history was unremarkable. A tan-brown skin specimen, measuring 1.2 × 0.8 × 0.5 cm, was sent for biopsy. Although the lesions caused him no discomfort, the patient wanted them removed.

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