Giant bilateral scrotal lipoma with abnormal somatic fat distribution: A case report.
Giant bilateral scrotal lipoma with abnormal somatic fat distribution: A case report.
复制标题
巨大双侧阴囊脂肪瘤伴体脂肪分布异常：一例报告
DOI：
10.12998/wjcc.v10.i29.10803
复制
发表时间：
2022-10-16
影响因子：
1.1
通讯作者：
Tang, Yong
中科院分区：
文献类型：
--
作者：
Chen, Yu;Li, Xiu-Ning;Yi, Xian-Lin;Tang, Yong
阴囊脂肪瘤极为罕见，因此其起源仍然未知。建议伤害是潜在因素，但原因尚不清楚。很难确定这些肿瘤的起源。先前的研究表明，这些肿瘤可能是先天性的，或者它们起源于绳索周围的小脂肪颗粒。其他研究表明，这些肿瘤起源于睾丸或皮尼卡。
一名66岁的老年男性，具有巨大的阴囊质量。 b-耗竭，计算机断层扫描和磁共振成像检查是典型的类似脂肪瘤的变化，通过术后病理分析证实了这一点。通过图像证实了异常的体细胞脂肪分布。 2年后随访后没有复发。综述了先前发表的英语文献，并在6个研究中报道了腹股沟或骨盆手术的史（总共21例）。据我们所知，这是英语文献中最重的双侧阴囊脂肪，并且具有最长的术后随访时间。更重要的是，对这些肿瘤的起源进行了审查和讨论。
老年人的巨型双侧阴囊脂肪瘤可能是异常体细胞脂肪分布的症状的一部分。
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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