Eruptive Penile Syringomas in an Adolescent: Novel Approach with Serial Microexcisions and Suture–Adhesive Repair

Abstract

Penile syringomas are benign adnexal tumors that are usually asymptomatic but can be cosmetically distressing. Because of the delicate nature of skin in this region, treatment is difficult, and there are few case reports of procedural destruction of these tumors. We report a case of successful surgical excision using Castroviejo ophthalmic scissors followed by primary closure with fast-absorbing plain gut suture and a cyanoacrylate adhesive application. This procedure was well tolerated and had an impressive cosmetic outcome.

Fast Absorbing Gut Sutures in Dermatologic Surgery - A Systematic Review and Meta-Analysis

“…Of the excluded studies, one analyzed the placement of FG sutures without a corresponding excision, and one was a case report on the use of FG sutures. 18,19 Three studies which were included in the nal analysis compared the use of fast-gut sutures to cyanoacrylate adhesive, two studies compared FG to traditional PP sutures, and one compared different sized (5-0 and 6-0) FG sutures together. 8,9,[20][21][22][23] Risk of bias was considered low across all studies with regards to the randomization process, deviations from the intended result, outcome data, and selection of the desired result (Supplementary 1).…”

Multiple Yellow-Brown Papules on the Penis

“…1 Eruptive syringoma is a rare variant, and the age of onset ranges from 3 to 50 years. [1][2][3][4][5][6][7][8][9][10][11][12][13] Eruptive syringoma is the term for multiple lesions that occur synchronously in any part of the body. 1,4,13 The term eruptive is not the opposite of localized and refers to the time of onset of the lesion.…”

“…Several cases of penile syringoma have been reported, but eruptive penile syringoma is rare. 3,[5][6][7][8][9][10]12,13 Histopathology is essential for the diagnosis of syringoma. Hematoxylin and eosin stain shows multiple small cystic ducts and epithelial cell nests in the dermis.…”