Rekavari Sai Goutham, Mahakalkar Chanrashekhar
General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 May 29;16(5):e61304. doi: 10.7759/cureus.61304. eCollection 2024 May.
Lipomas are common benign soft tissue tumors, typically presenting as painless, slow-growing masses of mature adipose tissue. However, their occurrence as pedunculated lesions in the perianal region is rare. We present a case of a 70-year-old male with a 20-year history of a painless, cosmetically concerning mass in the perianal region. Clinical examination and ultrasonographic findings were consistent with a pedunculated lipoma. Surgical excision was performed successfully, and histopathological examination confirmed the diagnosis of lipofibroma. This case highlights the importance of considering unusual presentations of lipomas in the differential diagnosis of perianal masses. It emphasizes the role of surgical excision for symptomatic or cosmetically concerning lesions. Long-term follow-up is essential to monitor for recurrence and ensure optimal patient outcomes.
脂肪瘤是常见的良性软组织肿瘤，通常表现为无痛、生长缓慢的成熟脂肪组织肿块。然而，它们以带蒂病变的形式出现在肛周区域的情况很少见。我们报告一例70岁男性，其肛周区域有一个无痛性、影响美观的肿块，病史长达20年。临床检查和超声检查结果与带蒂脂肪瘤一致。手术切除成功，组织病理学检查确诊为脂肪纤维瘤。该病例强调了在肛周肿块的鉴别诊断中考虑脂肪瘤不寻常表现的重要性。它强调了手术切除对有症状或影响美观的病变的作用。长期随访对于监测复发和确保患者获得最佳预后至关重要。
