Scrotalis Fibrolipoma: A Case Report

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