Scrotal Fat Necrosis
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Fat necrosis of the scrotum
Firm nodules in the lower part of the scrotal wall.
It occurs in stout or fat boys before puberty. It represents 1% of the acute pediatric lesion arising in the scrotum (Murphy et al. 2006).
It affects children and adolescents.
Scrotum: usually the lesions are bilateral and symmetrical (Peterson et al. 1976). The testis is not involved.
Most cases are conservatively managed. When diagnosis is not clear clinically, lumpectomy is advocated.
Ill-defined gray-yellow nodules limited to the scrotal wall.
Histologically, the lesions show fat necrosis with inflammation (Ong and Solomon 1973).
Biopsies in this setting are exceptional; the diagnosis in the majority of the cases is clinically done (history of cold exposure prior to the onset of scrotal pain and ultrasound evaluation). Differential diagnosis must be done with fat tumors...