Bogetti Paolo, Rolle Luigi, Baglioni Elisabetta Adelaide, Parisi Andrea, Spaziante Luca, Ruka Erind, Rivarossa Filippo, Ceruti Carlo, Preto Mirko, Bocchiotti Maria Alessandra
Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy; and Department of Urology, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
Plast Reconstr Surg Glob Open. 2016 Sep 7;4(9):e857. doi: 10.1097/GOX.0000000000000828. eCollection 2016 Sep.
Acquired scrotal giant muscular hamartoma is an uncommon benign lesion with fewer than 10 documented cases all over the world. It is characterized by a proliferation of dermal smooth muscle bundles of scrotum dartos fascia. The authors report a rare case of acquired scrotal giant muscular hamartoma, which occurred in a 70-year-old severely obese and diabetic man presenting with a progressive scrotal enlargement and swelling in the last year, causing marked reduction in quality of life and cosmetic problems. The patient underwent a wide excision of the hamartomatous lesion, and then, a reductive scrotoplasty and autologous skin grafting of penis were performed. Anatomopathological examination showed an acquired scrotal giant muscular hamartoma arising from muscular fascia of dartos. This surgical technique is a valid, safe, effective, and minimally invasive option to treat this pathology, achieving both excellent functional and aesthetic results, with a marked improvement of the patient's quality of life.
后天性阴囊巨大肌肉错构瘤是一种罕见的良性病变，全球报告病例不足10例。其特征是阴囊肉膜筋膜的真皮平滑肌束增生。作者报告了一例罕见的后天性阴囊巨大肌肉错构瘤病例，该病例发生在一名70岁的严重肥胖糖尿病男性身上，患者在过去一年中阴囊逐渐增大并肿胀，导致生活质量显著下降和出现美容问题。患者接受了错构瘤病变的广泛切除，随后进行了阴囊缩小成形术和阴茎自体皮肤移植。解剖病理学检查显示后天性阴囊巨大肌肉错构瘤起源于肉膜肌筋膜。这种手术技术是治疗该疾病的一种有效、安全、微创的选择，能取得优异的功能和美学效果，显著改善患者的生活质量。
