title: Giant Scrotal Fibrolipoma.
abstract: Fibrolipoma, an infrequent histological subtype of lipoma, is considered a benign mesenchymal neoplasm. Fibrolipoma of the scrotum is an even more rare entity. We report a case of a 55-year-old male complaining for a slow-growing, painless mass in his left hemis-crotum. Imaging with ultrasonography and magnetic resonance imaging was inconclusive regarding the nature of the tumor and the tumor was excised, sparing the testis. The surgical specimen was a well-defined, yellowish white, solid, and firm mass, measuring 19.5×7×5 cm. There was no cytological atypia or mitosis and no lipoblasts recognized. On immunohistochemistry, MDM2 and CDK4 were not expressed. The histopathology report was fibrolipoma of the scrotum. To the best of our knowledge, this is only the fourth case of fibrolipoma originating from the scrotal components, spermatic cord or testis that has been reported in the English literature.
authors.affiliation: Urology Department, General Hospital of Veria , Thessaloniki, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Mykoniatis
authors.affiliation: Radiology Department, AHEPA University Hospital , Thessaloniki, Greece.
authors.forename: Linda
authors.initials: L
authors.lastname: Metaxa
authors.affiliation: Urology Department, General Hospital of Veria , Thessaloniki, Greece.
authors.forename: Vasilios
authors.initials: V
authors.lastname: Nikolaou
authors.affiliation: Pathology Laboratory, General Hospital of Veria , Greece.
authors.forename: Chrysa
authors.initials: C
authors.lastname: Filintatzi
authors.affiliation: Urology Department, General Hospital of Veria , Thessaloniki, Greece.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Kikidakis
authors.affiliation: Urology Department, General Hospital of Veria , Thessaloniki, Greece.
authors.forename: Petros
authors.initials: P
authors.lastname: Sountoulides
keywords: Fibrolipoma; scrotum; testis