Scrotalis Fibrolipoma: A Case Report

Authors

  • Brian Sugito Universitas Sam Ratulangi
  • Priscilia Kalitouw RSMN Prov. Sulawesi Utara, Bitung, Indonesia
  • Ferry Kalitouw RSMN Prov. Sulawesi Utara, Bitung, Indonesia

DOI:

https://doi.org/10.35790/ecl.v14i1.63139

Keywords:

fibrolipoma; scrotum; benign tumor, orchiectomy

Abstract

Abstract: Fibrolipoma is a rare histological subtype of scrotal lipoma and is often a benign mesenchymal neoplasm. Management of this tumor such as surgical excision provides histopathological diagnosis and resolution of symptoms. We reported a case of 44-year-old male who complained of slow growing and painless mass in the right hemiscrotum. The clinical appearance was a mass with firm boundary, smooth surface, dense and tending to be hard with a size of 20 cm x 20 cm x 8 cm. In this case we performed a simple orchiectomy, and histopathological examination of a fibrolipoma had been carried resulting in no malignant cells were found. Although fibrolipomas are histologically benign, regarding their natural history postoperative follow-up is suggested. During postoperative observation, the wound was well maintained and the patient's mobilization was also good. No signs of infection were found, and the pain was still within normal threshold. In conclusion, simple orchiectomy provides histopathological diagnosis and resolution of symptoms.

Keywords: fibrolipoma; scrotum; benign tumor, orchiectomy

Author Biographies

Brian Sugito, Universitas Sam Ratulangi

Departement of Surgery, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia

Priscilia Kalitouw, RSMN Prov. Sulawesi Utara, Bitung, Indonesia

Department of Surgery, RSMN Prov. Sulawesi Utara, Bitung, Indonesia

Ferry Kalitouw, RSMN Prov. Sulawesi Utara, Bitung, Indonesia

Departement of Surgery, RSMN Prov. Sulawesi Utara, Bitung, Indonesia

References

1. Suleiman J, Suleman M, Amsi P, Minja P, Lodhia J. Giant pedunculated lipofibroma of the thigh. J Surg Case Rep. 2023;2023(3):rjad153. Doi: 10.1093/jscr/rjad153

2. Gemilang B, Hutasoit YI, Deswanto IA. Giant scrotal lipoma in pediatric patient: A case report. Urol Case Rep. 2023;50. doi: 10.1016/j.eucr.2023.102492

3. Vignot L, Saad E, Peyromaure M, Barry Delongchamps N. Giant primary scrotal lipoma: a rare entity with diagnostic pitfalls. Case Rep Urol. 2020;2020:8815845. Doi: 10.1155/2020/8815845

4. Chen Y, Li XN, Yi XL, Tang Y. Giant bilateral scrotal lipoma with abnormal somatic fat distribution: a case report. World J Clin Cases. 2022;10(29):10803-10. Doi: 10.12998/wjcc.v10.i29.10803

5. Hegele A, Olbert P, Roessler M, Heidenreich A, Hofmann R. Inguinal fibrolipoma of the spermatic cord: discrepancies between clinical and histopathological findings. Urologia Internationalis. 2003;71(4):435-6. Doi: https://doi.org/10.1159/000074102

6. Mykoniatis I, Metaxa L, Nikolaou V, Filintatzi C, Kikidakis D, Sountoulides P. Giant scrotal fibrolipoma. Rare Tumors. 2015;7(4):151-3. Doi: https://doi.org/10.4081/rt.2015.6001

7. Ballout I, Moussa M, Khauli R. Huge primary scrotal lipoma: case report and review of literature. Urol Case Rep. 2023;51:102586. Doi:10.1016/j.eucr.2023.102586

8. Tsili AC, Bertolotto M, Rocher L, Turgut AT, Dogra V, Seçil M, et al. Sonographically indeterminate scrotal masses: how MRI helps in characterization. Diagn Interv Radiol. 2018;24(4):225-36. Doi:10.5152/dir.2018.17400

9. Parizad N, Faraji N, Goli R. Orchiectomy after testicular trauma in a 45-year-old man: a case report. Trauma Case Rep. 2023;48:100971. Doi:10.1016/j.tcr.2023.100971

10. Forsmann M, McLaughlin D, Leonard T. A case report of scrotal lipoma and review of lipoma pathogenesis. J Surg Case Rep. 2022;2022(5):rjac214. Doi: 10.1093/jscr/rjac214

Downloads

Published

2025-09-04

How to Cite

Sugito, B., Kalitouw, P., & Kalitouw, F. (2025). Scrotalis Fibrolipoma: A Case Report. E-CliniC, 14(1), 1–4. https://doi.org/10.35790/ecl.v14i1.63139

Issue

Vol. 14 No. 1 (2026): e-CliniC

Section

Articles

License

Copyright (c) 2025 Brian Sugito, Priscilia Kalitouw, Ferry Kalitouw

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

COPYRIGHT

 

Authors who publish with this journal agree to the following terms:

Authors hold their copyright and grant this journal the privilege of first publication, with the work simultaneously licensed under a Creative Commons Attribution License that permits others to impart the work with an acknowledgment of the work's origin and initial publication by this journal.

Authors can enter into separate or additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (for example, post it to an institutional repository or publish it in a book), with an acknowledgment of its underlying publication in this journal.

Authors are permitted and encouraged to post their work online (for example, in institutional repositories or on their website) as it can lead to productive exchanges, as well as earlier and greater citation of the published work (See The Effect of Open Access).