Reconstruction Approach to a Rare Case of Acquired Scrotal Giant Muscular Hamartoma
Identifieur interne : 002376 ( Pmc/Curation ); précédent : 002375; suivant : 002377Reconstruction 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 BocchiottiSource :
- Plastic and Reconstructive Surgery Global Open [ 2169-7574 ] ; 2016.
Abstract
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
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<front><div type="abstract" xml:lang="en"><title>Summary:</title>
<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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<front><journal-meta><journal-id journal-id-type="nlm-ta">Plast Reconstr Surg Glob Open</journal-id>
<journal-id journal-id-type="iso-abbrev">Plast Reconstr Surg Glob Open</journal-id>
<journal-id journal-id-type="publisher-id">GOX</journal-id>
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<publisher><publisher-name>Wolters Kluwer Health</publisher-name>
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<article-meta><article-id pub-id-type="pmid">27757322</article-id>
<article-id pub-id-type="pmc">5054988</article-id>
<article-id pub-id-type="art-access-id">00038</article-id>
<article-id pub-id-type="doi">10.1097/GOX.0000000000000828</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Reconstruction Approach to a Rare Case of Acquired Scrotal Giant Muscular Hamartoma</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Bogetti</surname>
<given-names>Paolo</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rolle</surname>
<given-names>Luigi</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff1">†</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Baglioni</surname>
<given-names>Elisabetta Adelaide</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parisi</surname>
<given-names>Andrea</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Spaziante</surname>
<given-names>Luca</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">*</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ruka</surname>
<given-names>Erind</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rivarossa</surname>
<given-names>Filippo</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ceruti</surname>
<given-names>Carlo</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">†</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Preto</surname>
<given-names>Mirko</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">†</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bocchiotti</surname>
<given-names>Maria Alessandra</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">*</xref>
</contrib>
<aff id="aff1">From the<label>*</label>
Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy; and<label>†</label>
Department of Urology, Citta della Salute e della Scienza Hospital, University of Turin, Turin, Italy.</aff>
</contrib-group>
<author-notes><corresp id="c1">Erind Ruka, MD, Department of Reconstructive and Aesthetic Plastic Surgery, Citta della Salute e della Scienza Hospital, University of Turin, Via Stellone 2/bis cap, 10126 Turin, Italy, E-mail: <email xlink:href="erind549@hotmail.com">erind549@hotmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="collection"><month>9</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>07</day>
<month>9</month>
<year>2016</year>
</pub-date>
<volume>4</volume>
<issue>9</issue>
<elocation-id>e857</elocation-id>
<history><date date-type="received"><day>18</day>
<month>2</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>27</day>
<month>5</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2016 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved.</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access"><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND)</ext-link>
, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.</license-p>
</license>
</permissions>
<self-uri xlink:type="simple" xlink:href="gox-4-e0857.pdf"></self-uri>
<abstract><title>Summary:</title>
<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>
</abstract>
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