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2014, Volume 30, Number 1, Page(s) 078-080     
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DOI: 10.5146/tjpath.2013.01214
A Giant Primary Sclerosing Lipogranuloma of the Scrotum
Sevdegül MUNGAN1, Ersagun KARAGÜZEL2, Celaleddin TURAN3, Abdulkadir REİS1
1Departments of Medical Pathology, Karadeniz Technical University, Faculty of Medicine, TRABZON, TURKEY
2Departments of Urology, Karadeniz Technical University, Faculty of Medicine, TRABZON, TURKEY
3Department of Urology, Akçaabat State Hospital, TRABZON, TURKEY
Keywords: Granuloma, Scrotum, Sclerosis, Adipose tissue

Sclerosing lipogranuloma is a rare, benign disease that can affect several organs, particularly of genitourinary system in males. The majority of the cases are secondary to exogenous foreign bodies. The masses are composed of granulomatous tissue formed around an either exogenous or endogenous lipomatous substance. We describe a 47-year-old male patient who presented with a growing, painless scrotal mass on physical examination. The mass was in 20 cm diameter and the laboratory findings were in normal limits. Pathologic evaluation confirmed the diagnosis of scrotal sclerosing lipogranuloma. To the best of our knowledge, this is the biggest scrotal sclerosing lipogranuloma case in the literature. We aimed with this presentation to keep in mind this benign lesion and also to assist the algorithmic approach.

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