An unusual case of massive funicular lipoma

Abstract

Intrascrotal lipomas are benign diseases that originate from adipose tissue inside the scrotal sac or constituting the scrotal wall itself. Paratesticular spermatic cord lipomas are a rare type of intrascrotal lipomas. A 78 years old patient in good health comes to our attention for massive tense-elastic swelling of left hemiscrotum appeared about 3 years ago and slowly increasing. Ultrasound evaluation of the intrascrotal mass showed inhomogeneous images mainly hyperechoic, not infiltrating the ipsilateral testis and scrotal wall. The ultrasonography found a lipomatous lesion with benign characteristics and a surgical excision has been performed. The lipomatous mass removed presented a size equal to 25 cm x 14 cm x 11 cm and a weight of about 490 gr. The microscopic examination of the tissue showed only the presence of mature adipocytes in the absence of cellular atypia, of other cellular types and of vascular abnormalities.

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

“…Yamamichi et al [ 13 ] reported a case of scrotal lipoma with a maximum diameter of 14 cm combined with liposarcoma (weight 250 g). The lesion described in the current report is the heaviest bilateral scrotal lipoma in the English-language literature[ 10 - 12 ], which was 995 g in weight (Figure 1D ).…”

“…Large scrotal lipomas often present with scrotal enlargement and discomfort[ 10 - 12 ]. A large right scrotal mass that weighed 1100 g was reported[ 5 ].…”

Primary scrotal Lipoma posing a diagnostic quandary: Experience from Northern Tanzania

“…Primary scrotal lipoma usually originates from spermatic cord. However, it can also originate outside the spermatic cord or in subcutaneous tissue [1][2][3]. We present an extremely rare case of primary scrotal lipoma which originated from subcutaneous tissue.…”

“…There is a wide range of differential diagnosis that spans from malignant to benign conditions [1,2]. The most common differentials include testicular torsion, epididymitis, varicocele, hydrocele, inguinal-scrotal hernia, epididymal cyst and testicular cancer [3,4]. Primary scrotal lipoma is a rare urological entity which usually poses a diagnostic quandary.…”

Giant primary scrotal lipoma: A case report

“…Lipomas are common benign mesenchymal tumours that may occur in any part of the body. These neoplasms, however, are rarely seen in the scrotum (1). In most cases, scrotal lipomas originate from the adipose tissue of the spermatic cord evolving towards the scrotum or develop in the spermatic cord itself.…”