Primary Scrotal Lipoma: A Case Report

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

“…Primary scrotal lipoma can occur in any age group. Most of the time it is unilateral with variable size [6][7][8]. Clinical presentation is not specific but most patients present with scrotal mass which may be diagnosed incidentally on clinical examination or the patient himself may complain of scrotal mass when it is significantly increased [6].…”

“…In our case, lipectomy was done and patient was free of symptoms. Primary scrotal lipoma has a good prognosis [8].…”

Primary scrotal lipoma posing a diagnostic quandary: Experience from northern Tanzania, a case report

“…Scrotal lipoma pathognomonic findings are mature adipocytes with no atypia while liposarcoma is a mixture of normal appearing adipocytes intermixed with atypical adipocytes 8,12 . Biopsy is the gold standard diagnosis to differentiate between malignant and benign lipomatous tumor 8,10–12 . Frozen section is useful in differentiating between a benign and malignant scrotal masses intraoperatively.…”

“…Ultrasound and computed tomography (CT) are helpful in diagnosing scrotal lipoma but require an experienced ultra‐sonographer. Typical finding in ultrasound is homogeneous and hyperechoic mass, no blood flow and the boundaries may be clear or not clear 8,11,12 . There is no pathognomonic finding from history, examination, or imaging which poses a diagnostic challenge to clinicians.…”

“…Typical finding in ultrasound is homogeneous and hyperechoic mass, no blood flow and the boundaries may be clear or not clear. 8 , 11 , 12 There is no pathognomonic finding from history, examination, or imaging which poses a diagnostic challenge to clinicians. CT and magnetic resonance imaging (MRI) can make anatomic assessment of lipoma more accurate with CT usually having Hounsfield units of less than −30.…”