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Reconstruction Approach to a Rare Case of Acquired Scrotal Giant Muscular Hamartoma

Identifieur interne : 000B85 ( Main/Exploration ); précédent : 000B84; suivant : 000B86

Reconstruction Approach to a Rare Case of Acquired Scrotal Giant Muscular Hamartoma

Auteurs : Paolo Bogetti ; Luigi Rolle ; Elisabetta Adelaide Baglioni ; Andrea Parisi ; Luca Spaziante ; Erind Ruka ; Filippo Rivarossa ; Carlo Ceruti ; Mirko Preto ; Maria Alessandra Bocchiotti

Source :

RBID : PMC:5054988

Abstract

Summary:

Acquired scrotal giant muscular hamartoma is an uncommon benign lesion with fewer than 10 documented cases all over the world. It is characterized by a proliferation of dermal smooth muscle bundles of scrotum dartos fascia. The authors report a rare case of acquired scrotal giant muscular hamartoma, which occurred in a 70-year-old severely obese and diabetic man presenting with a progressive scrotal enlargement and swelling in the last year, causing marked reduction in quality of life and cosmetic problems. The patient underwent a wide excision of the hamartomatous lesion, and then, a reductive scrotoplasty and autologous skin grafting of penis were performed. Anatomopathological examination showed an acquired scrotal giant muscular hamartoma arising from muscular fascia of dartos. This surgical technique is a valid, safe, effective, and minimally invasive option to treat this pathology, achieving both excellent functional and aesthetic results, with a marked improvement of the patient’s quality of life.


Url:
DOI: 10.1097/GOX.0000000000000828
PubMed: 27757322
PubMed Central: 5054988


Affiliations:


Links toward previous steps (curation, corpus...)


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<p>Acquired scrotal giant muscular hamartoma is an uncommon benign lesion with fewer than 10 documented cases all over the world. It is characterized by a proliferation of dermal smooth muscle bundles of scrotum dartos fascia. The authors report a rare case of acquired scrotal giant muscular hamartoma, which occurred in a 70-year-old severely obese and diabetic man presenting with a progressive scrotal enlargement and swelling in the last year, causing marked reduction in quality of life and cosmetic problems. The patient underwent a wide excision of the hamartomatous lesion, and then, a reductive scrotoplasty and autologous skin grafting of penis were performed. Anatomopathological examination showed an acquired scrotal giant muscular hamartoma arising from muscular fascia of dartos. This surgical technique is a valid, safe, effective, and minimally invasive option to treat this pathology, achieving both excellent functional and aesthetic results, with a marked improvement of the patient’s quality of life.</p>
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