Spindle Cell Lipoma of the Spermatic Cord Accompanying Pheochromacytoma

Abstract

Spindle cell lipoma is a rare lipoma, originates from subcutaneous tissue and mostly seen at back region. In this case report we represent a case with inguinal mass misdiagnosed as inguinal hernia and then diagnosed as spindle cell lipoma. There are two cases in literature with spindle cell lipoma originating from spermatic cord. This case is unique as having both pheochromacytoma and inguinal spindle cell lipoma mistaken as inguinal hernia.

Keywords

• Lipoma, diagnostic error, spermatic cord, inguinal hernia

Spindle Cell Lipoma of the Spermatic Cord Accompanying Pheochromacytoma

Öz

İğsi hücreli lipom subkutan dokulardan kaynaklanan genellikle sırt ve ensede görülen nadir bir lipom çeşididir. Bu olgu sunumunda sol kasığında fıtıkla karışan kitlesi mevcut olan ve daha sonra bu kitlenin iğsi hücreli lipom olduğu saptanan hastayı sunduk. Literatürde daha önce 2 defa spermatik kord kaynaklı iğsi hücreli lipom bildirilmiştir. Bu olgu sunumu feokromasitomayla birlikte olan ve kasık fıtığıyla karışan literatürdeki ilk iğsi hücreli hücreli lipom olma özelliğine sahiptir

Anahtar Kelimeler

• Lipoma, tanısal hata, spermatik kord, inguinal herni

Kaynakça

1. Enzinger FM, Harvey DA. Spindle cell lipoma. Cancer 1975; 36:1852-9
2. Okuda H. Spindle cell lipoma in Retzius’ space. Int J Urol 2009;16(2):218-9.
3. Haas AF, Fromer ES, Bricca GM. Spindle cell lipoma of the scalp: a case report and review. Dermatol Surg 1999;25 (1): 68-71.
4. Mulvany NJ, Silvester AC, Collins JP. Spindle Cell Lipoma of The Breast. Pathology 1999;31(3):288-91.
5. Üstündağ N, Dervişoğlu S. Recently described lipomatous tumors and our 11 year-experience on lipomatous tumors. Cerrahpaşa J Med 2003; 34: 119-26.
6. Al Rashid M, Soundra Pandyan GV. Spindle cell lipoma of the spermatic cord. Saudi Med J 2004; 25: 667–8.
7. Ide H, Nakagawa T, Kamiyama Y, Muto S, Imamura T, Horie S. Spindle cell lipoma of the spermatic cord. Int J Urol 2007;14 (11):1046-7.
8. Kostka R, Baitler T, Zachoval R, Sosna B, Palascak P. Liposarcoma of the spermatic cord. Prog Urol 2006;16: 215–17.

9. Templeton SF, Solomon AR Jr. Spindle cell lipoma is strongly CD34 positive. An immunohistochemical study. J Cutan Pathol 1996; 23:546–50.
10. Dumollard JM, Ranchere-Vince D, Burel F, et al. Spindle cell lipoma and 13q deletion: diagnostic utility of cytoge- netic analysis. Ann Pathol 2001; 21: 303-10.
11. Olaleye O, Fu B, Moorthy R, Lawson C, Black M, Mitchell D. Left supraclavicular spindle cell lipoma.Int J Otolaryngol.2010;2010:942152.