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Penis and scrotum
Non-neoplastic lesions of scrotum
Fat necrosis
Editors: Antonio Cubilla, M.D. and Alcides Chaux, M.D.
Revised: 15 May 2010, last major update May 2010
Copyright: (c) 2002-2010, PathologyOutlines.com, Inc.
Definition
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● Resembles fat necrosis elsewhere
Epidemiology
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● Mostly obese prepubertal boys (J Urol 1976;116:825)
● Represents 1% of all acute pediatric scrotum cases
Etiology
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● May be due to trauma and hypothermia (swimming in very cold water, Br J Urol 1975;47:331)
Clinical features
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● Swollen, firm, and tender scrotum
● Frequently bilateral
● Testis uninvolved
Treatment
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● Symptoms resolve spontaneously within a few weeks with conservative management; surgery is not necessary except to rule out other processes (The Internet Journal of Urology 2010;6(2))
Gross description (Macroscopy)
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● Ill-defined gray-yellow mass
Micro description (Histopathology)
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● Fat necrosis with prominent inflammatory infiltrate
Micro images
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Skin, not scrotum, in patient with acute pancreatitis
Contributed by Dr. Angel Fernandez-Flores, MD, PhD, Hospital El Bierzo and Clinica Ponferrada, Spain
Skin, not scrotum
End of Penis and scrotum > Non-neoplastic lesions of scrotum > Fat necrosis
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