PDF(Pubmed)
Abstract：
Lipomas are common benign soft tissue tumors, typically presenting as painless, slow-growing masses of mature adipose tissue. However, their occurrence as pedunculated lesions in the perianal region is rare. We present a case of a 70-year-old male with a 20-year history of a painless, cosmetically concerning mass in the perianal region. Clinical examination and ultrasonographic findings were consistent with a pedunculated lipoma. Surgical excision was performed successfully, and histopathological examination confirmed the diagnosis of lipofibroma. This case highlights the importance of considering unusual presentations of lipomas in the differential diagnosis of perianal masses. It emphasizes the role of surgical excision for symptomatic or cosmetically concerning lesions. Long-term follow-up is essential to monitor for recurrence and ensure optimal patient outcomes.
摘要：
脂肪瘤是常见的良性软组织肿瘤，通常表现为无痛，生长缓慢的成熟脂肪组织。然而,在肛周区域很少发生带蒂病变。我们介绍了一个70岁的男性，有20年的无痛史，美容上涉及肛周区域的质量。临床检查和超声检查结果与带蒂脂肪瘤一致。手术切除成功,组织病理学检查证实诊断为脂肪纤维瘤。此病例强调了在肛周肿块的鉴别诊断中考虑脂肪瘤异常表现的重要性。它强调了手术切除对症状性或美容性病变的作用。长期随访对于监测复发和确保最佳患者预后至关重要。
