Szychta Pawel, Witmanowski Henryk
From the Dr Szychta Clinic, Gdansk, Poland.
Private Practice, Poznan, Poland.
Plast Reconstr Surg Glob Open. 2024 Mar 28;12(3):e5701. doi: 10.1097/GOX.0000000000005701. eCollection 2024 Mar.
Multiple symmetrical lipomatosis is a rare diffuse presentation of the progressive accumulation of deposits of nonencapsulated masses of adipose tissue. The characteristic image of this disease is bilateral swelling in the neck, the upper part of upper limb, pelvic rim, back, and thighs. We report a case of unusual localization of benign scrotal symmetrical lipomatosis with ultrasound and histological appearances of the scrotal lipomatous masses, together with treatment. Scrotal lipomatosis should be considered as a rare differential diagnosis of scrotal swelling, and excisional lipectomy should be considered in preference over liposuction. Patients should be offered counseling for infertility.
多发性对称性脂肪瘤病是一种罕见的脂肪组织非包膜性肿块进行性堆积的弥漫性表现。该病的特征性影像表现为颈部、上肢上部、骨盆边缘、背部和大腿双侧肿胀。我们报告一例阴囊良性对称性脂肪瘤病罕见定位的病例，伴有阴囊脂肪瘤块的超声及组织学表现，以及治疗情况。阴囊脂肪瘤病应被视为阴囊肿胀的一种罕见鉴别诊断，相较于抽脂术，应优先考虑切除性脂肪切除术。应为患者提供关于不育症的咨询。
