title: Reconstruction Approach to a Rare Case of Acquired Scrotal Giant Muscular Hamartoma.
abstract: Acquired scrotal giant muscular hamartoma is an uncommon benign lesion with fewer than 10 documented cases all over the world. It is characterized by a proliferation of dermal smooth muscle bundles of scrotum dartos fascia. The authors report a rare case of acquired scrotal giant muscular hamartoma, which occurred in a 70-year-old severely obese and diabetic man presenting with a progressive scrotal enlargement and swelling in the last year, causing marked reduction in quality of life and cosmetic problems. The patient underwent a wide excision of the hamartomatous lesion, and then, a reductive scrotoplasty and autologous skin grafting of penis were performed. Anatomopathological examination showed an acquired scrotal giant muscular hamartoma arising from muscular fascia of dartos. This surgical technique is a valid, safe, effective, and minimally invasive option to treat this pathology, achieving both excellent functional and aesthetic results, with a marked improvement of the patient's quality of life.
authors.affiliation: Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy; and Department of Urology, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Bogetti
authors.affiliation: Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy; and Department of Urology, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Rolle
authors.affiliation: Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy; and Department of Urology, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
authors.forename: Elisabetta Adelaide
authors.initials: EA
authors.lastname: Baglioni
authors.affiliation: Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy; and Department of Urology, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Parisi
authors.affiliation: Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy; and Department of Urology, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Spaziante
authors.affiliation: Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy; and Department of Urology, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
authors.forename: Erind
authors.initials: E
authors.lastname: Ruka
authors.affiliation: Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy; and Department of Urology, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
authors.forename: Filippo
authors.initials: F
authors.lastname: Rivarossa
authors.affiliation: Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy; and Department of Urology, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Ceruti
authors.affiliation: Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy; and Department of Urology, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
authors.forename: Mirko
authors.initials: M
authors.lastname: Preto
authors.affiliation: Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy; and Department of Urology, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
authors.forename: Maria Alessandra
authors.initials: MA
authors.lastname: Bocchiotti