
Lipoma de cordón espermático; presentación de un caso.
LUIS PARRA MUNTANER, JOSÉ CARLOS LÓPEZ PACIOS, JOSÉ MARÍA SÁNCHEZ MERINO, MARTA BOUSO MONTERO, SERGIO CARLOS GÓMEZ CISNEROS, MARÍA DEL CARMEN PIÑEIRO FERNÁNDEZ, JESÚS GARCÍA ALONSO
Lipoma de cordón espermático; presentación de un caso.
OBJECTIVE: To report an additional case of lipomaof the spermatic cord, an uncommon, silent tumor.METHODS: A case of lipoma of the spermatic cord is described.The patient had presented with an enlarged scrotum with no symptomsThe literature on lipoma of the spermatic cord is briefly reviewed,with special reference to its diagnosis, forms of presentation andtreatment.RESULTS: US evaluation demonstrated a mass adhered to theepididymis. An epididymal tumor was suspected and surgicalexploration by the inguinal approach was performed.CONCLUSIONS: Lipoma is the most common tumor of thespermatic cord. Its etiology is unknown. It frequently appears in thefourth and fifth decades of life and usually involves the lefthemiscrotum. It is silent and is detected by enlargement of thescrotum. The diagnosis is histological supported by US, which offersa reliability of 80%-100%. Treatment is by surgery in all cases.
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