巨大会阴脂肪瘤：一例罕见病例报告。
Giant perineal lipoma: A rare case report.
作者信息
Shrestha Suraj, Joshi Surya Prakash, Aryal Roshan, Thapa Sital, Shrestha Bibek Man, Panthi Bishal
机构信息
Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
出版信息
Int J Surg Case Rep. 2025 Apr;129:111134. doi: 10.1016/j.ijscr.2025.111134. Epub 2025 Mar 10.
INTRODUCTION AND IMPORTANCE
Lipomas are one of the most common benign tumors. The perineum, head, and acral areas are uncommon sites that require careful differential diagnosis and imaging.
CASE PRESENTATION
We here report a case of a 39-year-old female with a mass in the groin region. Ultrasonography of the mass revealed a large ill-defined iso to a hyperechoic lesion with no evidence of deeper muscular plane extension. Surgical exploration was done through an incision made near the perineal area adjacent to the mass surface.
CLINICAL DISCUSSION
Adults with perineal lipoma have soft tissue tumors, dermoid cysts, and epidermoid cysts as differential diagnoses. Ultrasonography is the recommended first investigation since it successfully identifies superficial lipomas with good sensitivity and specificity.
CONCLUSION
Perineal lipomas are uncommon benign tumors. The effective treatment option is surgical excision.
引言与重要性
脂肪瘤是最常见的良性肿瘤之一。会阴、头部和肢端部位是少见部位，需要仔细进行鉴别诊断和影像学检查。
病例介绍
我们在此报告一例39岁女性腹股沟区肿物病例。肿物超声检查显示为一个边界不清的等回声至高回声大病灶，无深部肌肉平面受累迹象。通过在肿物表面附近会阴区做切口进行手术探查。
临床讨论
患有会阴脂肪瘤的成年人需与软组织肿瘤、皮样囊肿和表皮样囊肿进行鉴别诊断。超声检查是推荐的首选检查，因为它能以良好的敏感性和特异性成功识别浅表脂肪瘤。
结论
会阴脂肪瘤是少见的良性肿瘤。有效的治疗选择是手术切除。
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