Giant primary scrotal lipoma in a low-resource setting: challenges with diagnosis and review of literature.
Giant primary scrotal lipoma in a low-resource setting: challenges with diagnosis and review of literature.
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DOI：
10.1093/jscr/rjab398
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发表时间：
2021-09
影响因子：
0.5
通讯作者：
Adjei E
中科院分区：
文献类型：
--
作者：
Seidu AS;Yorke J;Akpaloo J;Danso P;Sukenibe SS;Fiifi-Yankson PK;Adae-Aboagye K;Amoah G;Yamoah FA;Afful-Yorke D;Agyeman-Gyebi SNP;Brenu SG;Adjei E
脂肪瘤是由成熟脂肪细胞组成的最常见的良性间质肿瘤。一项文献检索显示很少有报道的病例巨大阴囊脂肪瘤。这篇文章的目的是报告一个重达1100g的巨大阴囊脂肪瘤，并说明我们在低资源环境下诊断过程的挑战。一名28岁男性右侧阴囊出现巨大肿块。检查发现肿块无咳嗽冲动。它结实，不嫩，分叶状，边缘分明。阴囊超声检查怀疑脂肪瘤。术中，有一个包膜的阴囊壁肿块和一个偶然的腹股沟阴囊疝，内容物是网膜。切除阴囊肿块，结扎疝囊，切除后壁修复。组织学证实阴囊肿块为脂肪瘤。原发性阴囊脂肪瘤是罕见的，但应考虑在鉴别诊断不寻常的阴囊肿块。在资源有限的情况下，超声检查是一种有用的诊断工具。
Lipoma is the commonest benign mesenchymal tumor composed of matured adipocytes. A literature search revealed few reported cases of giant scrotal lipoma. This article aims to report a giant scrotal lipoma weighing 1100 g and illustrate our challenges with the diagnostic process in a low-resource setting. A 28-year-old male presented with a huge right scrotal mass. Examination revealed the mass had no cough impulse. It was firm, non-tender and lobulated, with definite edges. Scrotal sonography was suspicious of lipoma. Intraoperatively, there was an encapsulated scrotal wall mass and an incidental inguinoscrotal hernia, content being the omentum. The scrotal mass was excised, hernia sac was ligated, and excised and the posterior wall was repaired. Histology confirmed the scrotal mass as a lipoma. Primary scrotal lipomas are rare but should be considered in the differential diagnosis of unusual scrotal masses. Ultrasonography is a useful diagnostic tool in resource-limited settings.
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