IS Case 310: Scrotal lipoma
Imaging Sciences URMC 2009
Publication Date: 2009-09-14
Patient is a 77-year-old male who presented with the complaint of right scrotal swelling for 9 months.
Primary lipomas of the scrotum are rare. Most accounts in the scientific literature are case reports. The main concern when a fatty mass is identified within the scrotum or elsewhere is whether the mass could be a liposarcoma.
Some distinguishing features include:
These characteristics are not pathognomonic however. Fine septations can be seen in lipomas on CT and MRI. Even at pathology, the differentiation can be difficult.
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