DOI: http://dx.doi.org/10.18203/2349-2902.isj20190411

Large primary scrotal lipoma with particular presentation

Nicolae-Iustin Berevoescu, Sorin Stanilescu, George Halcu, Mihaela Berevoescu, Daniel Cristian

Abstract


Scrotal lipomas are benign tumours rarely seen in clinical practice. They can mimic common affections such as an an inguinoscrotal hernia, varicocele, hydrocele or a testicular tumour. Thus, in many cases, physical examination leads to a correct diagnosis, there are situations that require comprehensive imagistic examinations, to establish the preoperatory nature of the scrotal tumour. A case of 64-year-old male, known with arterial hypertension and gonarthrosis, came to the hospital for a painless scrotal tumour with a fast growth rate in dimensions over the last year. Physical examination detected an elastic, painless, irreducible, irregularly shaped mass of a right scrotal region. The scrotal ultrasound revealed a heterogeneous hyperechoic solid mass with 10x8.1x8cm in dimensions, localized in the right scrotal region. The magnetic resonance imaging (MRI) showed a globular shaped right scrotal tumour mass with well-defined margins, poorly vascularized at the lower pole. Surgery was performed, with excision of a mass about 10cm in major diameter from the right scrotal wall. Postoperative evolution was good, and the histological diagnosis of primary scrotal lipoma was made. One-year follow-up revealed no local relapse.


Keywords


Inguinoscrotal hernia, Scrotal lipoma, Scrotal liposarcoma, Scrotal magnetic resonance imaging

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References


Federle MP. Diagnostic and surgical imaging anatomy: chest, abdomen, pelvis. Amirsys: 2006; 3: 130-135.

Eble JN, Sauter G, Epstein JI, Sesterhenn IA, eds. Pathology and Genetics of Tumours of the Urinary System and Male Genital Organs. France: IARC: 2004; 273-276.

Aluko T, Masi Z, Tomaszewski J, Germaine P. Scrotal sac leiomyoma: Case report of a rare benign scrotal mass. Radiology Case Reports. 2018;13(2):411-414.

Fabiani A, Principi E, Filosa A, Pieramici T, Fioretti F, Maurelli V, et al. An unusual case of primary intrascrotal lipoma. Arch Ital Urol Androl. 2016;88(4):345-6.

Galosi AB, Scarpelli M, Mazzucchelli R, Lopez-Beltran A, Giustini L, Cheng L, et al. Adult primary para testicular mesenchymal tumors with emphasis on a case presentation and discussion of spermatic cord leiomyosarcoma. Diagnostic Pathol. 2014;9(1):90.

Fujimura N, Kurokawa K. Primary lipoma of the scrotum. Euro Urol. 1979;5:182-3.

Srivastava KN, Agarwal A, Vikram SS, Gupta M. Huge scrotal lipoma posing a diagnostic dilemma: a case report and review of literature. Urol Case Rep. 2017;15:39.

Siegel D. Imaging and interventional therapy for varicoceles. Current Urol Rep. 2014;15(4):399.

Leyson JF, Doroshow LW, Robbins MA. Extra testicular lipoma: report of 2 cases and a new classification. J Urol. 1976;116(3):324-6.

Kaplanoglu V, Kaplanoglu H, Parlak IS, Tatar IG. Giant intrascrotal lipoma. BMJ Case Rep. 2013:bcr2013200500.

Woodward PJ, Schwab CM, Sesterhenn IA. From the archives of the AFIP: extra testicular scrotal masses: radiologic-pathologic correlation. Radiographics. 2003 Jan;23(1):215-40.

Cardenosa G, Papanicolaou N, Fung CY, Tung GA, Yoder IC, Althausen AF, et al. Spermatic cord sarcomas: sonographic and CT features. Urol Radiol. 1990;12(1):163.

Wolfman DJ, Marko J, Gould CF, Sesterhenn IA, Lattin Jr GE. Mesenchymal extra testicular tumors and tumorlike conditions from the radiologic pathology archives. Radiograph. 2015;35(7):1943-54.

Patel NG, Rajagopalan A, Shrotri NS. Scrotal liposarcoma-a rare extra testicular tumour. JRSM Short Rep. 2011;2(12):1-3.