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[Lipoma of spermatic cord; report of a case]
L Parra Muntaner1, J C López Pacios, J M Sánchez Merino
1Servicio de Urología, Hospital del Bierzo, Fuentesnuevas, Ponferrada, León, España.
Objective:
To report an additional case of lipoma of the spermatic cord, an uncommon, silent tumor.
Methods:
A case of lipoma of the spermatic cord is described. The patient had presented with an enlarged scrotum with no symptoms. The literature on lipoma of the spermatic cord is briefly reviewed, with special reference to its diagnosis, forms of presentation and treatment.
Results:
US evaluation demonstrated a mass adhered to the epididymis. An epididymal tumor was suspected and surgical exploration by the inguinal approach was performed.
Conclusions:
Lipoma is the most common tumor of the spermatic cord. Its etiology is unknown. It frequently appears in the fourth and fifth decades of life and usually involves the left hemiscrotum. It is silent and is detected by enlargement of the scrotum. The diagnosis is histological supported by US, which offers a reliability of 80%-100%. Treatment is by surgery in all cases.