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

Seidu, Anwar Sadat; Yorke, Joseph; Akpaloo, J.; Danso, Patrick; Sukenibe, Seidu Suhewie; Fiifi-Yankson, Papa Kwesi; Adae-Aboagye, Kwadwo; Amoah, George; Yamoah, Francis Akwaw; Afful-Yorke, Denis; Agyeman-Gyebi, Samuel Nana Prempeh; Brenu, Samuel Gyasi; Adjei, Ernest

doi:10.1093/jscr/rjab398

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…Large scrotal lipomas often present with scrotal enlargement and discomfort[ 10 - 12 ]. A large right scrotal mass that weighed 1100 g was reported[ 5 ]. Yamamichi et al [ 13 ] reported a case of scrotal lipoma with a maximum diameter of 14 cm combined with liposarcoma (weight 250 g).…”

Section: Discussionmentioning

confidence: 99%

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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%

“…However, no pure lipoma was observed[ 1 ]. A study published in 1930 reported a giant scrotal lipoma weighing 480-1100 g[ 2 , 5 ]. Seidu et al [ 5 ] reported a large unilateral scrotal mass that weighed 1100 g in 2020.…”

Section: Introductionmentioning

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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“…US is the primary modality for describing the abnormalities of the paratesticular space and it helps in the localization of the lesion and assessment of its consistency whether it is cystic or solid [8,9]. US is also the cheapest and readily available in lowresource settings, however, it is operator-dependent [10]. The US has low specificity in differentiating benign tumors from malignant and both of them present as non-specific painless paratesticular mass.…”

Section: Ali and Singhmentioning

confidence: 99%

“…Lesions with a complicated appearance are difficult to differentiate from the malignant counterpart of liposarcoma which accounts for 3-7% of all extra testicular tumors and surgery is often warranted [10]. Hence, with those diagnostic dilemmas and patients over concern about the mass, we proceeded with scrotal exploration and the complete excision of the mass.…”

Section: Ali and Singhmentioning

confidence: 99%

Left paratesticular mass mimicking polyorchidism: A case report

Nawaz¹,

Kk²

2024

Indian J Case Reports

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We report a rare case of primary scrotal lipoma in a 20-year-old patient which clinically mimics a left triorchidism. The patients presented with the left testicular swelling and the ultrasonography of the scrotum revealed an inhomogeneous hyperechoic mass with an inconclusive report. The left scrotal hemi exploration was planned, and intraoperatively, it was found to be a paratesticular mass with an equivalent size corresponding to the left testicle, separate from the left testicle. The histopathology confirms the lipomatous swelling. The post-operative period remains uneventful and the patient has been on follow-up for the past 1 year with no relapse.

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Giant lipomas: A 130-year literature review, case series, and introduction of an intuitive management algorithm

Marcasciano,

Greto Ciriaco,

Fiorillo

et al. 2024

Il Giornale Di Chirurgia - Journal of the Italian Association of Hospital Surgeons

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Background: Lipomas are the most common benign mesenchymal tumors in adults. On the other hand, giant lipomas, defined as lipomas over >10 cm in length of over 1000 g in weight, are less frequently seen, can be clinically challenging to manage, and require careful attention. While most cases are benign, soft, asymptomatic masses, there is potential for functional limitation, nerve compression syndromes, and sarcomatous changes in such lesions. Methods: A case series is presented and an extensive review of the literature was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) declaration, since the first description of a giant lipoma reported in 1894, with the aim of providing an updated and comprehensive “state-of-the-art” on the management, diagnosis, and treatment of this entity. PubMed, Scopus, and Google Scholar databases were queried for relevant articles using the search terms “Giant lipoma” and “Massive lipoma” from 1894 to 2024. Results: Five consecutive clinical cases were reported. A total of 79 patients were identified from the 65 collected reports. Clinical characteristics of the lesions, surgical details, and patient characteristics are obtained and summarized. Preoperative/postoperative radiological/histological features are reported. Conclusion: Surgical excision remains the gold standard treatment for giant lipomas. According to existing literature, most recommendations are based on expert opinions and there is a paucity of guidelines or universal consensus on a treatment pathway for standardized, multidisciplinary management of such a challenging clinical condition.

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

Cited by 4 publications

References 14 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

Left paratesticular mass mimicking polyorchidism: A case report

Giant lipomas: A 130-year literature review, case series, and introduction of an intuitive management algorithm

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