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Urologia. 2013 Dec 23;81(3):184-186. doi: 10.5301/urologia.5000035. [Epub ahead of print]

[An unusual case of massive funicular lipoma.]

[Article in Italian]

Author information

  • 1Universit√† degli Studi dell'Aquila, Dipartimento MESVA, U.O.C. Urologia, P.O. "G. Mazzini", Teramo - Italy.

Abstract

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.

PMID:
24474534
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