Primary Sclerosing Lipogranuloma: A Rare Cause of Scrotal Mass

Sclerosing Lipogranuloma (SLG) is a rare disease that affects many organs, with male genitourinary system being the most common site. It is a benign disease which occurs due to a granulomatous reaction of fatty tissue in this area. In most cases, it occurs secondary to exogenous foreign bodies. However, endogenous lipid degeneration can occur due to infection, trauma, and allergic mechanisms. We describe a 34-year-old male patient who presented with a growing, painless scrotal mass on physical examination. Clinical suspicion of paratesticular tumour was made and on cytological examination, possibility of adenomatoid tumour was considered. Histopathological evaluation confirmed the diagnosis of paratesticular SLG.