by Anastacio Keebler
Published 2 years ago
Updated 2 years ago
Spermatic cord lipomas are the most common benign tumors in the inguinal canal (14–17). The term “true” lipoma may only be applied to those lipomas confined to the inguinal canal and not continuous with the preperitoneal or retroperitoneal fatty tissue.Jul 23, 2020
How to tell a lipoma from a liposarcoma?
Jul 23, 2020 · The spermatic cord lipoma is really preperitoneal fatty tissue that gained access to the spermatic cord where it is united with the inner matrix of areolar and adipose tissue within the internal spermatic fascia (6, 8). These anatomical and etiological insights are particularly important when dissecting spermatic cord lipomas, because the fatty tissue is in close contact …
What are the symptoms of lipoma?
Apr 03, 2022 · A cord lipoma refers to a lump of fat that is associated with the spermatic cord in the male groin. Lipomas are growths of fat cells in abnormal places, but they are not cancerous. Although these lumps of fat do not intrinsically pose a risk to health, the positioning and physical size of the lumps can produce medical problems such as blockages.
What causes inflammation of the spermatic cord?
What is a spermatic cord lipoma? A lipoma of the cord is herniated fat that appears to originate from the retroperitoneal fat outside and posterior to the internal spermatic fascia and protrudes through the internal ring lateral to the cord. Click to see full answer. Likewise, people ask, what is an inguinal cord lipoma? Inguinal cord lipomas.
Does lipoma have pain?
Jun 20, 2021 · Abstract. Lipomas of the cord are common and generally associated with an indirect hernia sac, but not always, as the lipoma may be the only pathology identified during groin exploration. Missed lipoma of the spermatic cord is unfortunately not infrequent and may lead to persistence of post-operative groin pain, with confirmation of unresected cord lipoma …
How do you remove a lipoma?
Lipoma treatments include:
Surgical removal. Most lipomas are removed surgically by cutting them out. Recurrences after removal are uncommon. Possible side effects are scarring and bruising. ...
Liposuction. This treatment uses a needle and a large syringe to remove the fatty lump.
Feb 11, 2022
What is an inguinal cord lipoma?
Lipomas of the cord (in men) and round ligament (in women) represent a simple protrusion (or herniation) of pedunculated extra-peritoneal fat through the inguinal canal. They are quite common and since their blood supply originates from the preperitoneal space, can be simply reduced without the need to be excised [1].Jun 20, 2021
Are lipomas in the groin common?
Groin lipoma is a rare condition. Such localization may lead to erroneous interpretation of inguinal hernia diagnosis. In case of incorrect diagnosis, there is clinically high risk for development of intraoperative complications.
What is Preperitoneal lipoma?
A preperitoneal lipomas is an uncommon soft tissue tumor and the giant ones are extremely rare. Although a rare cause of a painless abdominal swelling, a pre-peritoneal lipoma should be considered as a differential diagnosis in patients presenting with an unremarkable feature suggestive of an intra-abdominal pathology.Jul 20, 2021
What causes spermatic cord lipoma?
Results: Spermatic cord lipoma seems to originate from preperitoneal fatty tissue within the internal spermatic fascia in topographical proximity to the arteries, veins, lymphatics, nerves, and deferent duct within the spermatic cord. Reliable diagnosis cannot be made clinically, but rather with ultrasound, CT, or MRI.Jul 23, 2020
Can lipoma turn cancerous?
Cancerous tumours of the fat cells are called liposarcomas. They are a type of soft tissue sarcoma. It is very rare for lipomas to turn into a cancerous sarcoma. It is still important to tell your doctor if your lipoma changes in any way or if you get any new lumps.
Is lipoma benign or malignant?
Lipomatous tumors are similar to a common type of lump under the skin called lipomas. Lipomas are benign (not cancerous).Jul 23, 2019
What is the difference between lipoma and lymphoma?
Lipomas are common benign soft-tissue tumours of adipose tissue.Lymphomas are tumours of proliferating lymphocytes and in the adnexal region are commonly non-Hodgkin's B-cell lymphomas.Jun 16, 2006
What is the best treatment for lipoma?
Most lipomas don't need treatment. If a lipoma is bothering you, your provider can remove it surgically. Lipoma removal procedures are safe and effective, and you can usually go home the same day. As an alternative to lipoma surgery, your provider may recommend liposuction to remove the lipoma.
What is abdominal wall lipoma?
Lipomas are common benign tumors of mature adipose tissue and comprise nearly half of all soft-tissue tumors. One large study (1) showed that lipomas are the second most common benign mass and fourth most common abdominal wall mass. Lipomas are often painless and asymptomatic.Apr 24, 2020
Can a lipoma be removed laparoscopically?
Gastric lipomas can be removal with minimally invasive surgery procedures without the need for open surgery methods of surgery in centers which are using advanced endoscopy and laparoscopy.
Can lipoma cause infertility?
Scrotal lipomatosis is a rarely seen disease with an etiology that is not fully understood. Some information suggests that this disease may be associated with infertility.Nov 17, 2015
Where does spermatic cord lipoma originate?
What is a spermatic cord lipoma? A lipoma of the cord is herniated fat that appears to originate from the retroperitoneal fat outside and posterior to the internal spermatic fascia and protrudes through the internal ring lateral to the cord. Click to see full answer.
Where does lipoma of the cord come from?
A lipoma of the cord is herniated fat that appears to originate from the retroperitoneal fat outside and posterior to the internal spermatic fascia and protrudes through the internal ring lateral to the cord. Click to see full answer. Thereof, what is an inguinal cord lipoma?
How many lipomas are there in women?
There were 32 (51%) cord lipomas associated with indirect hernias, 11 (17%) with direct hernias, and 1 each with pantaloon and femoral hernias. Nine lipomas were found in women, seven presenting with groin pain and six found without an associated peritoneal defect.
What is the term for fatty tissue in the internal cremasteric fascia?
Fatty tissue within the internal cremasteric fascia is frequently encountered during hernia surgery, and it is called a cord lipoma in the surgical literature. Between 1997 and 2001, 128 consecutive patients with 139 indirect inguinal hernias, who underwent open repair, were evaluated.
What is the size of a spermatic cord lipoma?
In the absence of a real hernia sac, a spermatic cord lipoma is classified as a lateral inguinal hernia with a defect size <1.5 cm according to the European Hernia Society (EHS LI).
Can spermatic cord lipoma be resected?
Since spermatic cord lipoma obtains its vascular supply from the preperitoneal space, it can be reduced or resected.
What percentage of hernias have spermatic cord lipoma?
Introduction: A spermatic cord lipoma is found in 20-70% of all inguinal hernia repairs.
Where does spermatic lipoma originate?
Results: Spermatic cord lipoma seems to originate from preperitoneal fatty tissue within the internal spermatic fascia in topographical proximity to the arteries, veins, lymphatics, nerves, and deferent duct within the spermatic cord.
Is lipoma a common finding in inguinal hernia repairs?
Conclusion: Spermatic cord lipoma is a common finding in inguinal hernia repairs and must be properly diagnosed and treated with care respecting the anatomy of the spermatic cord.
What is spermatic liposarcoma?
Spermatic cord liposarcomas are the most common malignant tumor of the spermatic cord . Most present as painless, slow-growing masses and can be mistaken for inguinal hernias . They are usually well-differentiated and spread by local extension.
What is the most common malignant tumor of the spermatic cord?
Spermatic cord liposarcoma. Spermatic cord liposarcomas are the most common malignant tumor of the spermatic cord . Most present as painless, slow-growing masses and can be mistaken for inguinal hernias . They are usually well-differentiated and spread by local extension.
What is the treatment for a spermatic tumor?
Standard surgical treatment includes high orchiectomy and resection of the tumor and spermatic cord. Lymph node dissection is occasionally performed. Chemotherapy and radiation therapy depend on the tumor grade, stage, and risk of recurrence 1 .
Abstract
Lipomas of the cord are common and generally associated with an indirect hernia sac, but not always, as the lipoma may be the only pathology identified during groin exploration.
Introduction
Lipomas of the cord (in men) and round ligament (in women) represent a simple protrusion (or herniation) of pedunculated extra-peritoneal fat through the inguinal canal. They are quite common and since their blood supply originates from the preperitoneal space, can be simply reduced without the need to be excised [1].
Case Presentation
A 40-years-old male patient was referred to our Hernia Unit with a symptomatic recurrent left inguinal hernia following a previous open left inguinal herniorrhaphy 15 years prior and more recently, endoscopic totally extraperitoneal (TEP) mesh repair of bilateral (recurrent left) inguinal hernias.
Discussion
In a retrospective review of 280 hernia repairs, Lilly et al found 63 lipomas of the cord that represents an incidence of 22.5% [5]. Similar results were obtained by others with an incidence of 21% [6].
Conclusions
With the rapid adoption of laparoscopic TAPP and endoscopic TEP techniques worldwide for inguinal hernia repairs, the risk of overlooking this benign pathology is noteworthy and could potentially lead to unnecessary reoperation.
22 hours ago
Jul 23, 2020 · The spermatic cord lipoma is really preperitoneal fatty tissue that gained access to the spermatic cord where it is united with the inner matrix of areolar and adipose tissue within the internal spermatic fascia (6, 8). These anatomical and etiological insights are particularly important when dissecting spermatic cord lipomas, because the fatty tissue is in close contact …
14 hours ago
Apr 03, 2022 · A cord lipoma refers to a lump of fat that is associated with the spermatic cord in the male groin. Lipomas are growths of fat cells in abnormal places, but they are not cancerous. Although these lumps of fat do not intrinsically pose a risk to health, the positioning and physical size of the lumps can produce medical problems such as blockages.
21 hours ago
What is a spermatic cord lipoma? A lipoma of the cord is herniated fat that appears to originate from the retroperitoneal fat outside and posterior to the internal spermatic fascia and protrudes through the internal ring lateral to the cord. Click to see full answer. Likewise, people ask, what is an inguinal cord lipoma? Inguinal cord lipomas.
4.Spermatic Cord Lipoma-A Review of the Literature
Url:https://pubmed.ncbi.nlm.nih.gov/32793626/
14 hours ago
Jun 20, 2021 · Abstract. Lipomas of the cord are common and generally associated with an indirect hernia sac, but not always, as the lipoma may be the only pathology identified during groin exploration. Missed lipoma of the spermatic cord is unfortunately not infrequent and may lead to persistence of post-operative groin pain, with confirmation of unresected cord lipoma …
26 hours ago
In the absence of a real hernia sac, a spermatic cord lipoma is classified as a lateral inguinal hernia with a defect size <1.5 cm according to the European Hernia Society (EHS LI). Missed or inadequately treated spermatic cord lipoma results in recurrence or pseudo-recurrence.
32 hours ago
Sep 20, 2021 · Spermatic cord liposarcomas are the most common malignant tumor of the spermatic cord. Most present as painless, slow-growing masses and can be mistaken for inguinal hernias. They are usually well-differentiated and spread by local extension.
6 hours ago
Jun 20, 2021 · Lipomas of the cord (in men) and round ligament (in women) represent a simple protrusion (or herniation) of pedunculated extra-peritoneal fat through the inguinal canal. They are quite common and since their blood supply originates from the preperitoneal space, can be simply reduced without the need to be excised [1].
23 hours ago
Nov 13, 2017 · Abdominal and pelvic hernias may be indolent and detected incidentally, manifest acutely with pain and distress, or cause chronic discomfort. Physical examination findings are often ambiguous and insufficient for optimal triage. Therefore, accurate anatomic delineation and identification of complications are critical for effective treatment planning. Imaging, …
18 hours ago
Sep 20, 2021 · Inguinal canal lipomas, also known as spermatic cord or round ligament lipomas, are a relatively common but often under-recognized finding on imaging. Clinical presentation Lipomas are usually asymptomatic but can sometimes cause pain and discomfort. They can present as a mass lesion. Pathology They have no communication with the peritoneal fat.
