An unusual case of massive funicular lipoma
An unusual case of massive funicular lipoma
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DOI：
10.5301/urologia.5000035
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发表时间：
2014-07-01
期刊：
影响因子：
0.8
通讯作者：
Vicentini, Carlo
中科院分区：
文献类型：
--
作者：
Masciovecchio, Stefano;Saldutto, Pietro;Vicentini, Carlo
阴囊内脂肪瘤是一种良性疾病，起源于阴囊囊内的脂肪组织或构成阴囊壁本身。睾丸旁精索脂肪瘤是一种罕见的腹膜内脂肪瘤。患者78岁，身体健康，3年前左半脑出现大面积张弹性肿胀，逐渐加重。腹囊内肿块的超声检查显示图像不均匀，主要是高回声，未浸润同侧睾丸和阴囊壁。超声检查发现一个具有良性特征的脂肪瘤病变，并已进行手术切除。切除的脂肪瘤肿块大小为25厘米× 14厘米× 11厘米，重量约490克。组织的显微镜检查显示只有成熟脂肪细胞存在，没有细胞异型性、其他细胞类型和血管异常。
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.