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[Giant intrascrotal lipoma: a case report]
H Yoshida1, A Yasumoto, H Jinno
1Department of Urology, Kagawa Medical School.
Hinyokika Kiyo. Acta Urologica Japonica
|March 1, 1994
Summary
A giant intrascrotal lipoma, a rare benign tumor, was surgically removed from a 72-year-old man. This case contributes to the understanding of intrascrotal lipoma in Japanese patients.
Area of Science:
- Urology
- Pathology
Background:
- Intrascrotal lipomas are rare benign tumors originating from adipose tissue within the scrotum.
- Giant intrascrotal lipomas are exceptionally uncommon, presenting diagnostic and surgical challenges.
Observation:
- A 72-year-old male presented with a 10-year history of painless, elastic soft swelling in the right scrotum.
- Physical examination revealed a mass with negative transillumination; ultrasonography and X-ray confirmed a solid mass.
- The testis, epididymis, and spermatic cord were found to be intact during surgical exploration.
Findings:
- Surgical excision of the giant intrascrotal mass was successfully performed.
- Pathological examination confirmed the tumor to be a well-capsulated, benign lipoma.
- This case represents the 29th documented instance of intrascrotal lipoma in Japanese patients.
Implications:
- Highlights the importance of considering benign lipomas in the differential diagnosis of scrotal masses, even when large.
- Surgical management is curative for benign intrascrotal lipomas, preserving testicular function.
- Adds to the limited literature on intrascrotal lipomas, particularly in the Japanese population.