Huge scrotal lipoma posing a diagnostic dilemma: A case report and review of literature

Srivastava, K. K.; Agarwal, Amit; Vikram, S.; Gupta, Mohit

doi:10.1016/j.eucr.2017.08.008

Cited by 12 publications

(16 citation statements)

References 4 publications

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“…In most cases, the aetiology and origination are still unknown. Some patients are young[ 7 ], and the cause is suggested to be congenital[ 4 ]. However, some patients were older than 60 years, as shown in Table 2 .…”

Section: Discussionmentioning

confidence: 99%

Giant bilateral scrotal lipoma with abnormal somatic fat distribution: A case report

Chen¹,

Li²,

Yi³

et al. 2022

World J Clin Cases

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BACKGROUND Scrotal lipoma is exceedingly rare, so its origin is still unknown. Injury is suggested as a potential factor, but the cause remains unclear. It is difficult to determine the origin of these tumours. Previous studies have suggested that these tumours may be congenital or that they originate from small fatty particles around the cord. Other studies have suggested that these tumours originate from testicles or the tunica. CASE SUMMARY A 66-years elderly male with giant scrotal mass. B-ultrasound, computed tomography and magnetic resonance imaging examinations are typical lipoma-like changes, which were confirmed by postoperative pathological analysis. Abnormal somatic fat distribution was confirmed by images. no recurrence after follow-up for 2 years. Previously published English-language literature was reviewed, and a history of inguinal or pelvic surgery was reported in 6 studies (total 21 cases). To our knowledge, this is the heaviest bilateral scrotal lipoma in the English-language literature, and it has the longest postoperative follow-up time. More importantly, the origin of these tumours is reviewed and discussed. CONCLUSION Giant bilateral scrotal lipoma in elderly may as part of the symptoms of abnormal somatic fat distribution.

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Section: Discussionmentioning

confidence: 99%

Giant bilateral scrotal lipoma with abnormal somatic fat distribution: A case report

Chen¹,

Li²,

Yi³

et al. 2022

World J Clin Cases

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“…The primary scrotal lipomas seem to occur predominantly in boys and young men, while other types are commonly found in men over 40 years of age. 7,9 Also, clinically signs and symptoms are caused by growth. 7 Thus, in many cases, physical examination leads to a correct diagnosis, there are situations, like in this case, that require comprehensive imagistic examinations, in order to establish the preoperatory nature of the scrotal tumour.…”

Section: Discussionmentioning

confidence: 99%

“…7,9 Also, clinically signs and symptoms are caused by growth. 7 Thus, in many cases, physical examination leads to a correct diagnosis, there are situations, like in this case, that require comprehensive imagistic examinations, in order to establish the preoperatory nature of the scrotal tumour. Ultrasonography is the first choice in the evaluation of a scrotal tumour.…”

Section: Discussionmentioning

confidence: 99%

“…4 They can arise from adipose tissue of spermatic cord, extended into the scrotum and are named scrotal lipomas, from spermatic cord structures develop in the spermatic cord and are named spermatic cord and tunica vaginalis tumours and from the adipose cells of the scrotal wall, which are named primary scrotal lipoma. [5][6][7] Author highlighted a primary scrotal lipoma having a particular clinical and imagistic presentation that sustains rather a preoperatory diagnosis of well-differentiated liposarcoma than a lipoma.…”

Section: Introductionmentioning

confidence: 99%

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Large primary scrotal lipoma with particular presentation

et al. 2019

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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.

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“…A giant scrotal lipoma is a rare clinical occurrence [ 4 , 5 ]. Unusual scrotal masses have atypical clinical presentation that poses diagnostic challenges to the clinician [ 6 , 7 ]. Radiological imaging may aid in preoperative diagnosis and localization of scrotal lesions [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Giant primary scrotal lipoma in a low-resource setting: challenges with diagnosis and review of literature

Seidu

Yorke

Akpaloo

et al. 2021

Journal of Surgical Case Reports

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Lipoma is the commonest benign mesenchymal tumor composed of matured adipocytes. A literature search revealed few reported cases of giant scrotal lipoma. This article aims to report a giant scrotal lipoma weighing 1100 g and illustrate our challenges with the diagnostic process in a low-resource setting. A 28-year-old male presented with a huge right scrotal mass. Examination revealed the mass had no cough impulse. It was firm, non-tender and lobulated, with definite edges. Scrotal sonography was suspicious of lipoma. Intraoperatively, there was an encapsulated scrotal wall mass and an incidental inguinoscrotal hernia, content being the omentum. The scrotal mass was excised, hernia sac was ligated, and excised and the posterior wall was repaired. Histology confirmed the scrotal mass as a lipoma. Primary scrotal lipomas are rare but should be considered in the differential diagnosis of unusual scrotal masses. Ultrasonography is a useful diagnostic tool in resource-limited settings.

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Huge scrotal lipoma posing a diagnostic dilemma: A case report and review of literature

Cited by 12 publications

References 4 publications

Giant bilateral scrotal lipoma with abnormal somatic fat distribution: A case report

Giant bilateral scrotal lipoma with abnormal somatic fat distribution: A case report

Large primary scrotal lipoma with particular presentation

Giant primary scrotal lipoma in a low-resource setting: challenges with diagnosis and review of literature

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