Cystic Lymphangioma of the Scrotum and Perineum

Phil Hyun Song; Jong Min Kim; So Jun Yang; Ji Woong Choi; Mi Jin Kim; Hyun Tae Kim; Ki Hak Moon

doi:10.5534/kja.2011.29.2.177

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Song, Kim, Yang, Choi, Kim, Kim, and Moon: Cystic Lymphangioma of the Scrotum and Perineum

Original Article

Korean J Androl 2011;29(2):177-180.

Published online: 22 August 2011

DOI: https://doi.org/10.5534/kja.2011.29.2.177

Cystic Lymphangioma of the Scrotum and Perineum

Phil Hyun Song¹, Jong Min Kim¹, So Jun Yang¹, Ji Woong Choi¹, Mi Jin Kim², Hyun Tae Kim¹, Ki Hak Moon¹

¹Department of Urology, Yeungnam University College of Medicine, Daegu, Korea

²Department of Pathology, Yeungnam University College of Medicine, Daegu, Korea

Received 28 January 2011 Accepted 9 June 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cystic lymphangiomas are a benign tumor caused by lymphatic malformation. They are normally seen in the head and neck region and very rarely occur in the scrotum. We report a rare case of a 20-year-old man who presented with a gradually enlarging, painful scrotal mass which was identified ultrasonographically and histologically as a scrotal cystic lymphangioma and treated by surgical excision.

Keywords: Lymphangioma, Cystic, Scrotum

REFERENCES

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Fig. 1.

Preoperative state, the grape shaped painful swelling is observed at scrotum and perineaum.

Fig. 2.

Ultrasonography shows ill-defined multiloculated cystic lesion with various echogenecity in scrotum.

Fig. 3.

T1-wighted (A) and T2-weighed (B) transverse MRI image of scrotum shows numerous, variable sized cysts with intermediate signal intensity. Left test (white arrow) is displaced by cysts (Rt: right testis, Lt: left testis).

Fig. 4.

Histologic findings of tumor. (A) Tumor is composed of cystically dilated spaces (H&E ×40). (B) Tumor is lined by flattened cells (H&E ×100). (C) These cells are positive for immunohistochemical stain of D2-40 (IHC stain for D2-40 ×100).

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