Li SL, Zhang JW, Wu YQ, Lu KS, Zhu P, Wang XW. Subcutaneous angiolipoma in the scrotum: A case report. World J Clin Cases 2021; 9(26): 7954-7958 [PMID: 34621851 DOI: 10.12998/wjcc.v9.i26.7954]
Corresponding Author of This Article
Pei Zhu, MD, Doctor, Professor, Department of Urology, Shenzhen University General Hospital, No. 1098 Xueyuan Road, Shenzhen 518055, Guangdong Province, China. zhupei@szu.edu.cn
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Shu-Lin Li, Jia-Wei Zhang, Yu-Qi Wu, Ke-Shi Lu, Pei Zhu, Xiang-Wei Wang, Department of Urology, Shenzhen University General Hospital, Shenzhen 518055, Guangdong Province, China
Shu-Lin Li, Jia-Wei Zhang, Yu-Qi Wu, Ke-Shi Lu, Pei Zhu, Xiang-Wei Wang, Clinical Medical Academy Center, Shenzhen University, Shenzhen 518055, Guangdong Province, China
Author contributions: Li SL drafted the manuscript; Zhang JW managed the patient; Wu YQ, Lu KS, Wang XW, and Zhu P participated in the surgery; Zhu P supervised the manuscript writing; all authors have read and approved the final manuscript.
Supported byScience and Technology Innovation Commission Foundation of Shenzhen, No. JCYJ20190808141013454 and No. JCYJ20180305124827261; and Shenzhen Key Laboratory Foundation, No. ZDSYS20200811143757022.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Pei Zhu, MD, Doctor, Professor, Department of Urology, Shenzhen University General Hospital, No. 1098 Xueyuan Road, Shenzhen 518055, Guangdong Province, China. zhupei@szu.edu.cn
Received: May 17, 2021 Peer-review started: May 17, 2021 First decision: June 15, 2021 Revised: June 17, 2021 Accepted: July 12, 2021 Article in press: July 12, 2021 Published online: September 16, 2021
Abstract
BACKGROUND
Angiolipoma has been reported in many cases, and it often occurs in the skin of the trunk and limbs. However, angiolipoma in the scrotum is a rare disease with unknown etiology. This condition is difficult to diagnosis with other lumps in the scrotum.
CASE SUMMARY
A 32-year-old man presented to the urinary department with a history of an enlarged left scrotum with increasing discomfort for about 5 years. Physical examination revealed that there were a palpable mass measuring about 7.0 cm × 6.5 cm in the left scrotum, with smooth surfaces but without tenderness or adhesion to the skin. Ultrasound showed that there was a hyperechoic mass under the skin of the top scrotum, about 72 mm × 64 mm × 21 mm in size, with clear borders, uneven internal echo, and abundant blood flow signals. Serum human chorionic gonadotropin and alpha-fetoprotein were in normal level. Subcutaneous mass resection at the bottom of the left scrotum was performed under local anesthesia with 1% lidocaine. Postoperative pathological examination resulted in a diagnosis of subcutaneous angiolipoma of the scrotum. No evidence of recurrence was found at 6 mo after surgery and there were no complaints of discomfort.
CONCLUSION
Angiolipoma is an extremely rare type of benign tumor extremely rarely found in the scrotum, but needs to be considered when evaluating scrotal masses especially when the mass is solid. According to the characteristics of angiolipoma, surgical resection is the best treatment strategy and it is not prone to recurrence after resection.
Core Tip: Subcutaneous angiolipoma is a rare type of benign tumor extremely rarely found in the scrotum but needs to be considered when evaluating scrotal masses. We report a case of subcutaneous angiolipoma of the scrotum, and summarize its clinical manifestations and pathological characteristics to improve the understanding of this disease.
