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Case Report
Giant scrotal lipoma: Case report and review of literature
1 Department of Histopathology, University of Maiduguri/ University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria
2 Department of Surgery, University of Maiduguri/ University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria
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Abba Bukar Zarami
Department of Histopathology, University of Maiduguri/ University of Maiduguri Teaching Hospital, Nigeria
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Article ID: 100009Z15AZ2019
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Zarami AB, Ibrahim H, Ibrahim AG. Giant scrotal lipoma: Report of a case and review of literature. J Case Rep Images Urol 2018;3:100009Z15AZ2019.ABSTRACT
Introduction: Lipoma is a benign mesenchymal neoplasm, the primary scrotal type is extremely rare and most of them develop from the content rather than the wall of the scrotum and they are often confused with liposarcomas clinically. In the few reported cases the largest primary scrotal lipoma to date measured 13.5x10x5 cm. Cytogenetically, 80% of solitary lipomas exhibit chromosomal aberrations, such as rearrangements of 12q13–15, 6p21–22, or deletions of 13q12–14 and 13q22 with 1% tendency of malignant transformation.
Case Report: A 42-year-old nomadic Fulani who presented with extremely rare giant primary scrotal lipoma that measured 60x40x12 cm and weighed 38.4 kg. To our knowledge this is the largest scrotal lipoma reported in the literature.
Conclusion: Scrotal lipoma can be colossal and leads to diagnostic challenges, especially in developing countries. Total surgical removal of the involved scrotal mass or a compartmental resection has been suggested as treatment of choice; however, the infiltrating type has high chances of local recurrence despite surgical excision. Nevertheless, the tumor rarely transforms into malignancy.
Keywords: Diagnostic challenges, Giant, Lipoma, Scrotum
SUPPORTING INFORMATION
Author Contributions
Abba Bukar Zarami - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
AG Ibrahim - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
H Ibrahim - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 A. B. Zarami et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
