Journal of Dr. NTR University of Health Sciences

CASE REPORT
Year
: 2015  |  Volume : 4  |  Issue : 2  |  Page : 128--129

Lipoma of the penis, a very rare presentation


Jagadamba Sharan1, Ram Chandra Kesarwani1, Deepika Verma2,  
1 Department of Surgery, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India
2 Department of Microbiology, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India

Correspondence Address:
Dr. Jagadamba Sharan
Department of Surgery, Rohilkhand Medical College and Hospital, Pilibhit Bypass Road, Bareilly - 243 006, Uttar Pradesh
India

Abstract

A lipoma is a common tumor arising from fat cells and can occur anywhere in the body. However, lipoma of the penis is very unusual and rare.



How to cite this article:
Sharan J, Kesarwani RC, Verma D. Lipoma of the penis, a very rare presentation.J NTR Univ Health Sci 2015;4:128-129


How to cite this URL:
Sharan J, Kesarwani RC, Verma D. Lipoma of the penis, a very rare presentation. J NTR Univ Health Sci [serial online] 2015 [cited 2019 Oct 18 ];4:128-129
Available from: http://www.jdrntruhs.org/text.asp?2015/4/2/128/158595


Full Text

 INTRODUCTION



A lipoma is a slow growing tumor composed of fat cells of adult type. Lipomas may be encapsulated or diffuse. Lipomas are among the most common benign tumors. They can occur anywhere in the body where fat is found and hence the title of the "universal tumor" or the "ubiquitous tumor." The head and neck area, abdominal wall and thighs are particularly favored sites. Lipoma present as soft, painless, subcutaneous lumps. Most lipomas are excised for cosmetic reasons. Only two cases of lipoma of penis have been reported in the literature so far; hence this case is being reported due to its rarity and unusual presentation.

 Case Report



A 35-year-old male patient presented to the surgery out-patient department with the complaints of a rounded swelling over the shaft of penis for past 6 months and bilateral enlargement of the scrotum for last 8 months. The lesion on the penis had gradually increased in size. It was not associated with pain or fever. The patient was sexually active. [1] On general examination, there was no significant finding and the inguinal lymph nodes on both sides were normally palpable. On examination of penis, a soft, non-tender, well-circumscribed swelling of about 2 cm in diameter with a smooth surface, mobile, not fixed to skin or deeper structures was noted [Figure 1]. On examination of the scrotum, bilateral scrotal swellings noted. The upper pole of the scrotum could be easily reached. The scrotal swellings were non-tender, fluctuant and translucent. Routine blood and urine examination was normal. Fasting blood sugar and post-prandial blood sugar, serum creatinine and urea levels were normal. Fine-needle aspiration cytology was not carried out for the want of excisional biopsy and accurate diagnosis. Ultrasonography of scrotum revealed bilateral hydrocele with normal testes. A provisional diagnosis of lipoma of penis and bilateral idiopathic hydrocele was made. Under local anesthesia excision of penile swelling with bilateral eversion of sac was carried out without putting a drain. The resected swelling on gross examination was found encapsulated and seemed to be lipoma. It was sent for histopathological examination which confirmed the diagnosis of lipoma. The post-operative period was uneventful. In 2 months follow-up the penis was found normal in shape and the scrotum was shrunken near to normalcy.{Figure 1}

 DISCUSSION



Lipomas are benign lesions included in the wide spectrum of swellings in the penis. Although asymptomatic and of low objective significance they often cause esthetic and psychogenic problems. Patients presented with sexual dysfunction which later turned out to be psychogenic. Differential diagnosis include angiomyolipoma [2] of penis, epidermoid cyst [3] of glans penis, parametal cyst [4] of glans penis. The reason for underreporting of such cases might be small size, no associated symptoms or relatively clinically insignificant presentation.

References

1Perimenis P, Liatsikos E, Athanasopoulos A, Barbalias G. Penile lipomas, cause of sexual dysfunction. Int Urol Nephrol 2002;34:3-4.
2Chaitin BA, Goldman RL, Linker DG. Angiomyolipoma of penis. Urology 1984;23:305-6.
3Khanna S. Epidermoid cyst of the glans penis. Eur Urol 1991;19:176-7.
4Shiraki IW. Parametal cysts of the glans penis: A report of 9 cases. J Urol 1975;114:544-8.