Giant bilateral scrotal lipoma with abnormal somatic fat distribution: A case report

Table 1 Laboratory test results before first and second surgery¹

Test	First operation (3 yr ago)	Current operation	Normal reference range
CRP	< 5	< 5	0-10 mg/L
hs-CRP	2.74	3.56	0-3 mg/L
Hemoglobin	136	130	131-172 g/L
Red blood cell count	3.95	3.62	4-5.5 × 109/L
White blood cell count	3.38	2.7	4-10 × 109/L
Platelets	93	58	100-300 × 109/L
Cholinesterase	3223	2587	5320-12920
Glutamyltransferase	233	256	8-73
LDH	360	366	120-250 g/L
Myoglobin	29.3	22.4	25-58
Glutamate dehydrogenase	41	25	0-5
Triglyceride	N/A	1.38	0.48-1.7
Apolipoprotein-A1	N/A	1.97	1-1.6
Thyroid stimulating hormone	13.52	8.39	0.27-4.2
Ferritin	N/A	942	30-400 μg/L

¹N/A, not applicable.

CRP: C-reactive protein; hs-CRP: High-sensitivity C-reactive protein; LDH: Lactate dehydrogenase.

Table 2 Literature review

Ref.	Age (yr)	Place (side)	Size (cm)	Weight (g)	Symptom	Presumably origination	Midical history (yr)	Operation history	Follow-up (mo)	Outcome/prognosis
Cecil[1]	44	Left	10. 5 × 9 × 7.5	N/A	Hard lumb	Spermatic cord	8 yr	Fractured rib	N/A	N/A
Livermor[2]	75	Left	16.5 × 8.89	225	Weight and pressure	Spermatic cord	1 yr	Prostate surgery	N/A	N/A
Mccullough[20]	49	Left	Two 2.0 × 1.5 × 1.5	N/A	Pressure	Spermatic cord	5 yr	Inguinal surgery	N/A	N/A
Florante et al[8]	20	Right	5 × 3.5 × 2	N/A	Symptomless mass	Perineum	N/A	Contralateral inguinal surgery	N/A	No recurrence
Florante et al[8]	76	Right	3 × 2	N/A	Symptomless mass	Perineum	2 mo	Prostate surgery	N/A	N/A
Fujimura and Kurokawa[4]	19	Right	6.5 × 6 × 5	41	Symptomless mass	Scrotum (tunica dartos)	2 yr	N/A	N/A	No recurrence
Kryvenko et al[19]	37	Left	26 × 14 (scrotum)	N/A	N/a	Scrotal wall	18 mo	N/A	N/A	N/A
Kryvenko et al[19]	N/A	N/A	N/A	N/A	Inguinal and scrotal swelling	Inguinal canal	N/A	N/A	N/A	N/A
Szmigielski et al[16]	67	Both	17 × 16 × 11	N/A	Symptomless mass	Scrotal wall	2 yr	Pulmonary embolism	N/A	N/A
Edelstein[15]	48	N/A	7 × 6	N/A	Scrotal swelling	Spermatic cord	8 yr	Inguinal surgery	N/A	N/A
Kim et al[21]	1 mo	Midline	3 × 1.5	N/A	N/A	Scrotal wall	Congenital	N/A	N/A	N/A
Sakorafas and Polychronopoulos[22]	67	N/A	N/A	N/A	Mild discomfort	Scrotal wall	6 yr	N/A	N/A	No recurrence
Kaplanoglu et al[12]	64	Left	10 × 9 × 5	550	Painless swelling	Intrascrotal lipoma	10 yr	N/A	6	No recurrence
Fabiani et al[9]	22	Left	3 × 2	N/A	Painful nodule	Intrascrotal lipoma	3 mo	N/A	N/A	N/A
Creta et al[11]	54	Midline	8 × 10 × 12	600	Swelling	Scrotal wall	N/A	N/A	N/A	N/A
Srivastava et al[7]	29	Left	15 × 10	N/A	Increasing lump	Scrotum (tunica dartos)	N/A	N/A	N/A	No recurrence
Yamamichi et al[13]	58	Left	14 × 6	250	Swelling and discomfort	Scrotal wall	46 yr	N/A	6	No recurrence
Vignot et al[23]	47	Left	17 × 11 × 6	460	Large left scrotal mass	Scrotal wall	10 yr	N/A	N/A	No recurrence
Zheng et al[3]	47	Both	Right 9.9 × 4.5, left 10.8 × 5.6	N/A	Progressively enlarging lumps	Scrotal wall	8 mo	N/A	5	No recurrence
Seidu et al[5]	28	Right	21 × 7 × 9	1100	Inguinoscrotal swelling	Inguinal canal	3 yr	N/A	N/A	N/A
Current case	66	Both	13 × 11 × 10	995	Swelling	Inguinal canal	3 yr	Thrombocytopenia; cystolithotomy	24	No recurrence

N/A: Not applicable.