PMC4623542_01
Fatty tissue enlargement in the perineum of a 58-year-old male patient. a) Preoperative situs, dorsal view. b) Preoperative situs, ventral view. c) Postoperative (8 weeks) situs, dorsal view. d) Postoperative situs (end of operation), ventral view.
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His physical examination showed normal physical findings, except for a soft tumor of 5 x 5 x 4 cm in the perineum, impressing like labia majora, located dorsal to the scrotum (Figure 1). No tumor recurrence was observed in the following 2 years (Figure1).
Preoperative computed tomography scan: lipid formation without any capsular structure in the perineum.
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It suggested that the tumor was benign and consists of fat (Figure 2).
Intraoperative situs. a) Skin incision. b) Intraoperative view to the fatty soft tissue enlargement. c) Excision of 220 gr. of crumbly fibro-lipomatous tissue.
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Through a 5 cm cut in the perineum, 220 g of macroscopically inconspicuous adipose tissue was removed in small portions (Figure 3).
Histological figure (hematoxylin and eosin staining) with univacuolar adipocytes, fibers of smooth muscle cells and fibrous fibers.
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