Fibrolipoma of the Perineum: A Case Report

Published:September 06, 2022DOI:


      Fibrolipoma is a low-frequency type of lipoma. Idiopathic, benign, and relatively slow-growing tumors, lipoma arise from exclusively mature adipocytes. Fibrolipoma are characterized by adipocytes mixed with abundant fibrous bands. Large, pendulous fibrolipomata are even more unusual. This article describes the etiology, incidence, clinical presentation, and management of a pendulous fibrolipoma in an adult transgender male. The lesion had the appearance of a scrotal sac. Surgical ablation was performed with pathologic examination. Pathology findings are presented, along with discussion of the role of the advanced practice clinician in diagnosis and management.


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      Marie Hastings-Tolsma, PhD, CNM, is a professor, Louise Herrington School of Nursing Baylor University, Dallas, TX, and can be contacted at [email protected] .


      Gary Foster, MS, FNP, is director of Clinical Operations (formerly), director of LGBTQ/PrEP Clinic (current), The Agape Clinic, Dallas, TX.


      Jennifer Talleff, MSN, FNP-C, CLNC, is an associate clinical professor, College of Nursing, Texas Woman’s University, Dallas, TX. The authors thank Susan K. Purcell, MA for her editorial assistance.