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阴囊脂肪瘤病例报告及脂肪瘤发病机制综述

A case report of scrotal lipoma and review of lipoma pathogenesis.

作者信息

Forsmann Mai, McLaughlin Daniel, Leonard Timothy

机构信息

OMS-3, Liberty University College of Osteopathic Medicine, Lynchburg, VA 24515, USA.

Department of General Surgery, Centra Health, Lynchburg, VA 24501, USA.

出版信息

J Surg Case Rep. 2022 May 31;2022(5):rjac214. doi: 10.1093/jscr/rjac214. eCollection 2022 May.

DOI:10.1093/jscr/rjac214
PMID:35665402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9155956/
Abstract

Scrotal lipoma is a type of rare benign mesenchymal tumor. These lipomas can masquerade as inguinal hernias that can cause surgical dilemmas. The size of lipomas can vary, with some growing into remarkably large masses. We present a case of a 75-year-old male with a history of laparoscopic hernia repair, who noticed a progressively enlarging left scrotal bulge. An open hernia repair procedure was performed, unexpectedly revealing two large left-sided scrotal masses, which were subsequently excised. Based upon the histopathologic findings of these masses, scrotal lipomas with fat necrosis were diagnosed.

摘要

阴囊脂肪瘤是一种罕见的良性间叶组织肿瘤。这些脂肪瘤可能会伪装成腹股沟疝，从而导致手术难题。脂肪瘤的大小各不相同，有些会生长成非常大的肿块。我们报告一例75岁男性病例，该患者有腹腔镜疝修补术病史，他注意到左侧阴囊肿物逐渐增大。进行了开放疝修补手术，意外发现左侧阴囊有两个大肿块，随后将其切除。根据这些肿块的组织病理学检查结果，诊断为伴有脂肪坏死的阴囊脂肪瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3826/9155956/e94381c14a70/rjac214f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3826/9155956/64f47e84531c/rjac214f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3826/9155956/e94381c14a70/rjac214f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3826/9155956/64f47e84531c/rjac214f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3826/9155956/e94381c14a70/rjac214f2.jpg

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本文引用的文献

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Giant Primary Scrotal Lipoma: A Rare Entity with Diagnostic Pitfalls.巨大原发性阴囊脂肪瘤：一种具有诊断陷阱的罕见病症。
Case Rep Urol. 2020 Nov 5;2020:8815845. doi: 10.1155/2020/8815845. eCollection 2020.
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Spermatic Cord Lipoma-A Review of the Literature.精索脂肪瘤——文献综述
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