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Case report of a giant lipoma in the inguinal-perineal area
Han Li1,2, Yuhang Fu1,2, Xin Chen1
1Department of Urology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences Beijing, China.
Introduction:
Lipomas are benign tumors that occur in the back, shoulder, neck, and extremities. Giant lipomas of the inguinal-perineal area are extremely rare.
Case Report:
We present a case of a 63-year-old man with a giant lipoma in the inguinal-perineal area. Ultrasound examination showed a heterogeneous hyperechoic mass (14.6 × 8.3 cm) located in the inguinal area, presumably an inguinal hernia. Computed tomography (CT) results showed fat tissue radiographic patterns, and lack of enhancement of the left inguinal area extending to the lateral scrotum. The patient underwent an operation and a radical resection was performed. Histology results revealed a lipoma. At the 1-month follow-up, the patient did not show any evidence of recurrence.
Conclusion:
Giant lipomas occurring in the inguinal-perineal area are extremely rare and are easily confused with other lesions in the groin area. We recommend a detailed preoperative adjunctive examination such as CT. Open surgical complete excision is the ideal treatment.
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