SCLEROSING LIPOGRANULOMA OF THE SCROTUM : A CASE REPORT

A 33-year-old farmer who noticed a hard mass in his scrotum was admitted to our hospital. The physical examination was essentially normal except for the Y-shaped scrotal mass. He denied injection, and had no previous injury of the scrotum. Since the rapid growth of the mass suggested a malignant disease, the patient underwent en bloc excision of the mass. The cut surface of the removed mass was grayish white. Histological examination revealed lipodegeneration with phagocytosis and a high degree of fibrosis. There were many giant cells and eosinocytes. Histopathological diagnosis was the latter stages of sclerosing lipogranuloma. In the Japanese literature, a characteristic feature of sclerosing lipogranuloma of the scrotum is the Y-shape mass (79%).