A rare case of acquired lymphangioma circumscriptum of the penis

Adikari, Savidya; Philippidou, M.; Samuel, Miriam

doi:10.1177/0956462416657238

Cited by 11 publications

(23 citation statements)

References 6 publications

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“…One infectious case was attributed to filariasis (1 case), and 1 inflammatory case was attributed to hidradenitis suppurativa (1 case) [8, 9]. Two idiopathic cases were previously mistaken for genital warts and gonorrhea [10, 11].…”

Section: Resultsmentioning

confidence: 99%

“…Congenital lymphangiomas are thought to result from fetal lymph vessels that failed to involute and/or failed to join with the central lymphatic system. On the contrary, acquired lymphangiomas may result from trauma, certain infections (cellulitis, neoplastic disease, tuberculosis, filariasis), radiotherapy, pregnancy, scleroderma, severe phimosis or STDs [10].…”

Section: Discussionmentioning

confidence: 99%

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Penile Lymphangioma: review of the literature with a case presentation

Macki

Anand

Jaratli

et al. 2019

Basic Clin. Androl.

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BackgroundPenile lymphangiomas are rare manifestations of lymphangiomas or lymphatic malformations which are more commonly found in the head or neck region of the body. Lymphangiomas are further categorized as lymphangioma circumscriptum, cavernous lymphangioma, cystic hygroma, or acquired lymphangiomas (also known as lymphangiectasia), based on their depth and etiology.ResultsA literature review revealed only 30 cases of penile lymphangioma between 1947 and March 30, 2018. Several causes were attributed to the acquired penile lymphangiomas, including trauma, phimosis, and infection. While penile lymphangiomas can be initially mistaken for an infection, a thorough history and physical examination is sufficient to clinically diagnose a lymphangioma of the penis. Historically, surgical excision has been the gold standard of treatment for this condition. When asymptomatic, patients may opt for conservative management with avoidance of mechanical trauma alone. Other physicians have revealed novel treatment plans to rid patients of their penile lymphangioma such as a staged laser procedure.ConclusionIn this article, we elucidate the causes, symptoms, treatments, and outcomes associated with penile lymphangiomas found in the literature while also presenting the case of a 30-year-old African-American man diagnosed with acquired penile lymphangioma.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Penile Lymphangioma: review of the literature with a case presentation

Macki

Anand

Jaratli

et al. 2019

Basic Clin. Androl.

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“…The congenital lymphangioma may result from failure of fetal lymph vessel to involute or to join with the central lymphatic system. However, multiple etiology including trauma, infections, radiotherapy, pregnancy, scleroderma, severe phimosis, or STDs may result in acquired lymphangioma [5].…”

Section: Discussionmentioning

confidence: 99%

Macrocystic Adult Penile Lymphangioma: A Rare Presentation

Kalathia¹,

Patel²,

Agrawal³

2020

Case Reports in Urology

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Adult penile lymphangioma (APL) is a rare multifactorial vascular malformation. Usually, it is asymptomatic and located on the coronal sulcus or shaft of the penis. It is benign in nature with rare chances of recurrence. APLs can be approached via various modalities from simple “watch and wait” to electrofulguration, laser ablation, and surgical excision. We report a rare variant of lymphangioma of the penis inculcating the shaft being excised surgically with favorable outcome along with brief review of literature.

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“…Lymphangioma circumscriptum is a benign saccular dilatation of the cutaneous and subcutaneous lymphatics 50. The condition is characterized by clusters of vesicles resembling frog spawn (Figure 14).…”

Section: Diagnosismentioning

confidence: 99%

“…The color depends on the content: whitish, yellow, or light tan coloration is due to color of the lymph fluid while reddish or blue color is due to the presence of erythrocytes in the lymph fluid as a result of hemorrhage 51. The vesicles may undergo verrucous changes and have a warty appearance 50. Sites of predilection include the extremities and, less commonly, the genitalia 52…”

Section: Diagnosismentioning

confidence: 99%

Penile warts: an update on their evaluation and management

Leung¹,

Barankin²,

Leong³

et al. 2018

DIC

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BackgroundPenile warts are the most common sexually transmitted disease in males. Clinicians should be familiar with the proper evaluation and management of this common condition.ObjectiveTo provide an update on the current understanding, evaluation, and management of penile warts.MethodsA PubMed search was completed in Clinical Queries using the key terms ‘penile warts’ and ‘genital warts’. The search strategy included meta-analyses, randomized controlled trials, clinical trials, observational studies, and reviews.ResultsPenile warts are caused by human papillomavirus (HPV), notably HPV-6 and HPV-11. Penile warts typically present as asymptomatic papules or plaques. Lesions may be filiform, exophytic, papillomatous, verrucous, hyperkeratotic, cerebriform, fungating, or cauliflower-like. Approximately one-third of penile warts regress without treatment and the average duration prior to resolution is approximately 9 months. Active treatment is preferable to watchful observation to speed up clearance of the lesions and to assuage fears of transmission and autoinoculation. Patient-administered therapies include podofilox (0.5%) solution or gel, imiquimod 3.75 or 5% cream, and sinecatechins (polypheron E) 15% ointment. Clinician-administered therapies include podophyllin, cryotherapy, bichloroacetic or trichloroacetic acid, oral cimetidine, surgical excision, electrocautery, and carbon dioxide laser therapy. Patients who do not respond to first-line treatments may respond to other therapies or a combination of treatment modalities. Second-line therapies include topical/intralesional/intravenous cidofovir, topical 5-fluorouracil, and topical ingenol mebutate.ConclusionNo single treatment has been shown to be consistently superior to other treatment modalities. The choice of the treatment method should depend on the physician’s comfort level with the various treatment options, the patient’s preference and tolerability of treatment, and the number and severity of lesions. The comparative efficacy, ease of administration, adverse effects, cost, and availability of the treatment modality should also be taken into consideration.

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A rare case of acquired lymphangioma circumscriptum of the penis

Cited by 11 publications

References 6 publications

Penile Lymphangioma: review of the literature with a case presentation

Penile Lymphangioma: review of the literature with a case presentation

Macrocystic Adult Penile Lymphangioma: A Rare Presentation

Penile warts: an update on their evaluation and management

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