title: Sclerosing lipogranuloma of the genitalia treated with corticosteroids.
abstract: Primary sclerosing lipogranuloma is an unusual benign condition of the genitalia typically presenting as a painless mass affecting the penis and scrotum. Its importance lies in differentiating it from malignancy to avoid extensive surgery. It is normally treated with total or partial excision. This is the first reported case where oral corticosteroids have been used to treat this condition whereby a six-week course resulted in the mass disappearing. In conclusion, if sclerosing lipogranuloma is suspected biopsy should be undertaken to exclude sarcoma. We believe surgery should be reserved for recurrent or refractory cases when steroids have failed as first-line treatment.
authors.affiliation: Department of Surgery, University of Melbourne, Austin Hospital, Studley Road, 3084, Heidelberg, Victoria, Australia.
authors.forename: Nathan
authors.initials: N
authors.lastname: Lawrentschuk
authors.forename: David
authors.initials: D
authors.lastname: Angus
authors.forename: Damien M
authors.initials: DM
authors.lastname: Bolton
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D006099:Granuloma / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000188:drug therapy* / Q000473:pathology; D011239:Prednisolone / Q000627:therapeutic use*; D012598:Sclerosis / Q000188:drug therapy / Q000473:pathology
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone