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[Spermatic cord lipoma]
E Peyrí Rey1, P Nubiola, F Hidalgo
1Servicio de Urología, Hospital Comarcal de la Selva, Blanes (Girona).
Actas Urologicas Espanolas
|June 9, 1998
Summary
Spermatic cord lipomas are rare tumors, often asymptomatic and growing large. Surgical resection is the primary treatment, with potential for recurrence or malignant transformation.
Area of Science:
- Urology
- Oncology
- Pathology
Context:
- Spermatic cord lipomas are rare, though common in their location.
- Often present as large, asymptomatic masses in middle-aged men.
Purpose:
- To summarize the characteristics, diagnosis, and treatment of spermatic cord lipomas.
- To highlight the importance of considering recurrence and malignant transformation.
Summary:
- Spermatic cord lipomas are rare tumors, comprising 30-35% of spermatic cord tumors, alongside adenomatoid tumors.
- Etiology is unknown but linked to constitutional factors and obesity, typically affecting individuals in their fifth or sixth decade.
- These tumors are usually asymptomatic, unilateral, grow rapidly to over 10 cm, and are diagnosed via ultrasound and CT.
- Histological confirmation follows scrotal exploration, with surgical resection being the standard treatment.
- Recurrences and pseudo-relapses must be considered, especially after multiple resections.
- Rare instances of lipoma degeneration into liposarcoma have been documented.
Impact:
- Provides essential information for clinicians managing spermatic cord lipomas.
- Emphasizes the need for vigilance regarding potential complications like recurrence and malignancy.
- Contributes to the understanding of a rare tumor entity in urologic oncology.