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

Huge scrotal lipoma posing a diagnostic dilemma: A case report and review of literature.
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DOI:
10.1016/j.eucr.2017.08.008
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发表时间:
2017-11
影响因子:
0.5
通讯作者:
Gupta M
Gupta M
中科院分区:
其他
文献类型:
--
作者:
Srivastava KN;Agarwal A;Siddharth Vikram SS;Gupta M

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3.阴囊脂肪瘤虽然罕见,却是最常见的阴囊内良性肿瘤。Leyson等人提出了根据肿瘤的起源部位将这些肿瘤分为两大类(睾丸旁和睾丸外),并有许多细分。[3]另一种更实用的分类是由Minami描述的。[4]他将阴囊内脂肪瘤分为三种类型:(a)起源于精索后皮下组织的,扩散到阴囊的,称为阴囊脂肪瘤;(B)起源于精索内或外脂肪组织的,在精索内发育的,称为精索和图尼卡迷走神经瘤;(c)起源于阴囊肉膜图尼卡脂肪小叶的,罕见,称为原发性阴囊脂肪瘤。后一种分类似乎更容易采用,根据这一点,我们的脂肪瘤应被归类为阴囊脂肪瘤。
3. DiscussionScrotal lipomas, although rare, are the most common benign intra scrotal neoplasms. Leyson et al. proposed a classification of these tumors in two broad categories (paratesticular and extratesticular) with many subdivisions, according to their site of origin. 3 Another more practical classification was described by Minami. 4 He divided intrascrotal lipomas into three types:(a) those originating from the subcutaneous tissue posterior to the spermatic cord, which spread into the scrotum and are called scrotal lipomas,(b) those arising from the fat tissue within or outside the spermatic cord, which develop in the spermatic cord and are called spermatic cord and tunica vaginalis tumors and (c) those originating from fat lobules of the dartos tunica of the scrotum which are rarely seen and called primary scrotal lipomas. This latter classification seems easier to adopt and according to this our lipoma should be classified as a scrotal lipoma.