Penile Lymphangioma: review of the literature with a case presentation.

Authors:
Mohamed Macki
Mohamed Macki
Johns Hopkins University School of Medicine
United States
Hayan Jaratli
Hayan Jaratli
Wayne State University
United States
Ali A Dabaja
Ali A Dabaja
Weill Cornell Medical College

Basic Clin Androl 2019 28;29. Epub 2019 Jan 28.

3Department of Vattikuti Urology Institute, Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202 USA.

Background: Penile 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.

Results: A 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.

Conclusion: In 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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Source
http://dx.doi.org/10.1186/s12610-018-0081-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348653PMC
January 2019
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