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AlSulimani SO, Almalki AM, Alzahrani KA, Almutairi SM, Aljuhani AM, Alqahtani SA, Alruqi FA, Alzahrani MA. Infected giant right seminal vesicle epidermoid cyst in young male patient with ipsilateral solitary kidney: Case report. Urol Case Rep 2023; 51:102552. [PMID: 37701419 PMCID: PMC10493493 DOI: 10.1016/j.eucr.2023.102552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 08/28/2023] [Accepted: 08/31/2023] [Indexed: 09/14/2023] Open
Abstract
This case report presents a young male patient with a 3-month history of a rapidly growing lower abdominal mass associated with lower urinary tract symptoms and recurrent urinary tract infection. Pelvic magnetic resonance imaging showed a large congenital cyst in the right seminal vesicle having a mass effect on the urinary bladder, rectum, and left ureter. Histopathologic findings from exploratory laparotomy showed an epidermal inclusion cyst with secondary inflammation and suppuration. This report adds to the literature by describing this unique location of an epidermoid cyst within the seminal vesicle.
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Affiliation(s)
- Siraj O. AlSulimani
- Department of General Surgery, King Abdulaziz Specialist Hospital, Ministry of Health, Taif, Saudi Arabia
| | - Abdulaziz M. Almalki
- Department of Urology, King Abdulaziz Specialist Hospital, Ministry of Health, Taif, Saudi Arabia
| | - Khalid A. Alzahrani
- Department of Urology, King Abdulaziz Specialist Hospital, Ministry of Health, Taif, Saudi Arabia
| | - Samia M. Almutairi
- Department of General Surgery, King Abdulaziz Specialist Hospital, Ministry of Health, Taif, Saudi Arabia
| | - Arwa M. Aljuhani
- Department of General Surgery, King Abdulaziz Specialist Hospital, Ministry of Health, Taif, Saudi Arabia
| | | | - Faisal A. Alruqi
- Operating Room Department, King Abdulaziz Specialist Hospital, Ministry of Health, Taif, Saudi Arabia
| | - Meshari A. Alzahrani
- Department of Urology, College of Medicine, Majmaah University, Al-Majmaah, 11952, Saudi Arabia
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2
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Analysis of related factors between the occurrence of secondary epidermoid cyst of penis and circumcision. Sci Rep 2022; 12:13563. [PMID: 35945421 PMCID: PMC9360685 DOI: 10.1038/s41598-022-16876-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 07/18/2022] [Indexed: 11/14/2022] Open
Abstract
Secondary epidermoid cyst of the penis is a very rare epidermoid cyst that occurs in the penis. The purpose of this study was to investigate the relationship between the occurrence of secondary epidermoid cyst of penis and circumcision-related factors, and to provide possible reasonable and effective suggestions for circumcision. The data of all patients who visited the clinic for epidermoid cysts of the penis from September 2000 to September 2021 in Xiangya Hospital were collected. A retrospective study was carried out on whether the patients had been circumcised and the surgical method, anesthesia method, cyst location, surgical age, postoperative wound infection, whether they were phimosis patients, and the level of the surgeon. Among the 24 patients followed up, 95.8% had a history of circumcision, and only 4.2% had no history of circumcision, and the more traumatic surgical methods developed secondary epidermoid cyst of the penis after surgery the higher the probability. Injecting anesthesia at the base of the penis increases the chances of developing a secondary epidermoid cyst of the penis. Postoperative secondary epidermoid cyst of the penis were mainly located in the anterior segment and posterior segment, and the anterior segment had a higher proportion, followed by the posterior segment. Secondary epidermoid cyst of the penis occur mainly in adults. Postoperative wound infection accelerates the appearance of secondary epidermoid cyst of the penis. Patients with phimosis have an increased probability of developing secondary epidermoid cysts of the penis after surgery. The incidence of secondary epidermoid cysts and postoperative infection after manual circumcision by the attending physician was higher than that of the chief physician. Circumcision, injection of anesthesia at the base of the penis, ligation of the penis, and postoperative wound infection may be the etiologies and triggers of secondary epidermoid cysts of the penis. Adults and phimosis patients may be high-risk groups. Lower-level surgeons may increase the odds of postoperative secondary epidermoid cysts of the penis, and it is recommended that surgery be performed by a clinically-experienced, higher-level surgeon. The indications for circumcision should be strictly evaluated and the operation should be performed as soon as possible, and the less invasive surgical method and anesthesia method should be selected. Reduce irrelevant operations during surgery and avoid wound infection after surgery.
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3
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Midya M. Multiple Penoscrotal Cysts. Indian J Dermatol 2020; 65:248-249. [PMID: 32565582 PMCID: PMC7292446 DOI: 10.4103/ijd.ijd_709_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Affiliation(s)
- Manojit Midya
- Department of Burns and Plastic Surgery, AIIMS Jodhpur, Rajasthan, India. E-mail:
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Krishna S, Shanbhogue K, Schieda N, Morbeck F, Hadas B, Kulkarni G, McInnes MD, Baroni RH. Role of MRI in Staging of Penile Cancer. J Magn Reson Imaging 2020; 51:1612-1629. [PMID: 31976600 DOI: 10.1002/jmri.27060] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2019] [Revised: 12/15/2019] [Accepted: 12/17/2019] [Indexed: 12/19/2022] Open
Abstract
Penile cancer is one of the male-specific cancers. Accurate pretreatment staging is crucial due to a plethora of treatment options currently available. The 8th edition American Joint Committee on Cancer-Tumor Node and Metastasis (AJCC-TNM) revised the staging for penile cancers, with invasion of corpora cavernosa upstaged from T2 to T3 and invasion of urethra downstaged from T3 to being not separately relevant. With this revision, MRI is more relevant in local staging because MRI is accurate in identifying invasion of corpora cavernosa, while the accuracy is lower for detection of urethral involvement. The recent European Urology Association (EAU) guidelines recommend MRI to exclude invasion of the corpora cavernosa, especially if penis preservation is planned. Identification of satellite lesions and measurement of residual-penile-length help in surgical planning. When nonsurgical treatment modalities of the primary tumor are being considered, accurate local staging helps in decision-making regarding upfront inguinal lymph node dissection as against surveillance. MRI helps in detection and extent of inguinal and pelvic lymphadenopathy and is superior to clinical palpation, which continues to be the current approach recommended by National Comprehensive Cancer Network (NCCN) treatment guidelines. MRI helps the detection of "bulky" lymph nodes that warrant neoadjuvant chemotherapy and potentially identify extranodal extension. However, tumor involvement in small lymph nodes and differentiation of reactive vs. malignant lymphadenopathy in large lymph nodes continue to be challenging and the utilization of alternative contrast agents (superparamagnetic iron oxide), positron emission tomography (PET)-MRI along with texture analysis is promising. In locally recurrent tumors, MRI is invaluable in identification of deep invasion, which forms the basis of treatment. Multiparametric MRI, especially diffusion-weighted-imaging, may allow for quantitative noninvasive assessment of tumor grade and histologic subtyping to avoid biopsy undersampling. Further research is required for incorporation of MRI with deep learning and artificial intelligence algorithms for effective staging in penile cancer. Level of Evidence: 5 Technical Efficacy: Stage 3 J. Magn. Reson. Imaging 2020;51:1612-1629.
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Affiliation(s)
- Satheesh Krishna
- Faculty of Medicine, Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada
| | - Krishna Shanbhogue
- Department of Radiology, NYU Langone Medical Center, New York, New York, USA
| | - Nicola Schieda
- Department of Radiology, University of Ottawa, Ottawa, Ontario, Canada
| | - Fernando Morbeck
- Department of Diagnostic Imaging, Sao Paulo, Hospital Israelita Albert Einstein, São Paulo, Brazil
| | - Benhabib Hadas
- Faculty of Medicine, Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada
| | - Girish Kulkarni
- Departments of Surgery and Surgical Oncology, University of Toronto, Toronto, Ontario, Canada
| | - Matthew D McInnes
- Department of Radiology, University of Ottawa, Ottawa, Ontario, Canada
| | - Ronaldo Hueb Baroni
- Department of Diagnostic Imaging, Sao Paulo, Hospital Israelita Albert Einstein, São Paulo, Brazil
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5
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Fabiani A, Filosa A, Servi L, Filosa G. Unusual cystic lesions of penile dorsal surface. GIORN ITAL DERMAT V 2019; 154:589-591. [PMID: 31638353 DOI: 10.23736/s0392-0488.16.05375-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Andrea Fabiani
- Section of Urology, Department of Surgery, ASUR Marche Area Vasta 3, Macerata Civic Hospital, Macerata, Italy -
| | - Alessandra Filosa
- Section of Pathological Anatomy, Department of Clinical Pathology, ASUR Marche Area Vasta 3, Macerata Civic Hospital, Macerata, Italy
| | - Lucilla Servi
- Section of Urology, Department of Surgery, ASUR Marche Area Vasta 3, Macerata Civic Hospital, Macerata, Italy
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Syed MMA, Amatya B, Sitaula S. Median raphe cyst of the penis: a case report and review of the literature. J Med Case Rep 2019; 13:214. [PMID: 31301740 PMCID: PMC6626626 DOI: 10.1186/s13256-019-2133-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Accepted: 05/27/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND A defect in embryological development or closure of median raphe may lead to formation of cyst(s) anywhere in the midline from glans to anus. These cysts are referred to as median raphe cysts, an uncommonly encountered clinical condition. The cyst is generally solitary, with the penile shaft being the most common location, with average size of around 1 cm. The diagnosis is mostly clinical and confirmed histologically. We report a case of a patient with a rare histological variant of median raphe cyst and provide a focused review on presentation, histopathology, and management. CASE PRESENTATION A 29-year-old unmarried Nepali man presented to our clinic with an asymptomatic, solitary, soft, translucent, nontender cystic lesion of about 1-cm diameter at the ventral aspect of glans penis, close to the meatus, that had been noticed at the age of 3 and was nonprogressive for the past 15 years. Ultrasonography demonstrated an isoechoic cystic lesion at the tip of the penis, separated from the urethra, and lying entirely within the mucosa without any evidence of solid component, septation, or vascularity. On the basis of clinical and ultrasonographic findings, a diagnosis of median raphe cyst of the penis was made. The cyst was excised with the patient under local anesthesia, and there was no evidence of recurrence in 2 years of follow-up. The histopathological examination with Hematoxylin and eosin staining showed the cyst wall was lined partly by ciliated pseudostratified columnar epithelium and partly by columnar epithelium with apical mucin. CONCLUSIONS Median raphe cyst is an uncommon, mostly asymptomatic condition in young patients. The cyst may occur anywhere along the midline from glans to anus. The diagnosis is clinical with histological confirmation. Excision is the treatment of choice with minimal chance of recurrence.
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Affiliation(s)
- M M Aarif Syed
- Department of Dermatology and Venereology, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.
| | - Bibush Amatya
- Department of Dermatology and Venereology, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal
| | - Seema Sitaula
- Department of Dermatology and Venereology, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal
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Rajeev TP, Krishnan S, Menon A. Concealed cysts presenting as 'Club' penis: a case report. J Med Case Rep 2019; 13:122. [PMID: 31036080 PMCID: PMC6489305 DOI: 10.1186/s13256-019-2042-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 03/05/2019] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Penile swellings are not very common. They usually present as an obvious lesion visible and palpable either on the penile shaft, glans, or prepuce. Rarely, benign swellings may be concealed by phimosis and can present as "club" penis. CASE PRESENTATION We report the case of a 30-year-old Indian male man who presented with the complaint of difficulty in retracting his foreskin and a club-shaped distal penis. There were palpable lumps on either side of the glans penis which were concealed by the foreskin; hence, a proper preoperative clinical diagnosis was not possible. Circumcision revealed the presence of two discrete cystic swellings from inner prepuce which were excised. Histopathology was suggestive of epidermoid cysts. CONCLUSIONS Although epidermoid cysts are common cutaneous swellings, they are rarely seen on the penis. They generally present as a small solitary swelling on the penile surface and occurrence at multiple sites is very rare. Epidermoid cysts arising from inner prepuce, hiding within and presenting as club penis have not been reported. Thus, benign lumps should be considered an etiology for phimosis.
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Affiliation(s)
- T. P. Rajeev
- Department of Urology, K.S. Hegde Charitable Hospital, Nitte (Deemed to be University), Karnataka, 575018 India
| | - Shalini Krishnan
- Department of Maxillofacial Surgery, A.B. Shetty Memorial Institute of Dental Sciences, Nitte (Deemed to be University), Karnataka, 575018 India
| | - Arun Menon
- Department of Urology, K.S. Hegde Charitable Hospital, Nitte (Deemed to be University), Karnataka, 575018 India
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Guler Y, Tatar Z, Ucpinar B, Erbin A. An epidermal cyst of the penis after distal hypospadias surgery: a case report. J Med Case Rep 2018; 12:378. [PMID: 30580759 PMCID: PMC6304758 DOI: 10.1186/s13256-018-1930-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Accepted: 11/19/2018] [Indexed: 11/18/2022] Open
Abstract
Background Epidermoid cyst is a benign tumor that can occur anywhere in the body but is rarely seen in the penis. Congenital and previous penile surgeries have been reported to be involved in the etiology of the disease, which is usually asymptomatic. Here we describe a case of a patient with a penile epidermoid cyst, which occurred in the circumcision line on the left side of his penis, and urethral dehiscence following hypospadias surgery. Case summary A 3-year-old white boy who underwent primary distal hypospadias surgery 1.5 years ago presented with a slowly growing mass in the left ventrolateral portion of the penile circumcision line and urethral dehiscence. The histology of the excised mass revealed an epidermal inclusion cyst. Since then, he has remained healthy. Conclusions Epidermal inclusion cyst as a complication of hypospadias surgery is a very rare situation. The diagnosis is made histologically and surgical excision is sufficient for treatment.
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Affiliation(s)
- Yavuz Guler
- Department of Urology, Safa Hospital, Istanbul, Turkey.
| | - Zeynep Tatar
- Department of Pathology, Patomer Pathological Cytological Research Center, Istanbul, Turkey
| | - Burak Ucpinar
- Department of Urology, Haseki Traning and Research Hospital, Istanbul, Turkey
| | - Akif Erbin
- Department of Urology, Haseki Traning and Research Hospital, Istanbul, Turkey
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9
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Kumaraguru V, Prabhu R, Kannan NS. Penile Epidermal Cyst: A Case Report. J Clin Diagn Res 2016; 10:PD05-6. [PMID: 27437298 DOI: 10.7860/jcdr/2016/18246.7794] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Accepted: 02/29/2016] [Indexed: 11/24/2022]
Abstract
Epidermal cysts also known as epidermoid cysts, is one of the common benign tumours presenting anywhere in the body. However, epidermal cyst in the penis is very rare. This condition in children is usually congenital due to abnormal embryologic closure of the median raphe; hence, it is termed as median raphe cysts (MRCs). Penile epidermal cysts may occur in adults following trauma or surgery due to epidermal elements being trapped within closed space. During wound healing, trapped squamous epithelium, undergoing keratinisation leads to cyst formation. Here, we report a rare case of patient with a penile epidermoid cyst whose main complaints was discomfort during coitus.
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Affiliation(s)
- Veerapandian Kumaraguru
- Resident, Department of General Surgery, Raja Muthiah Medical Colege, Annamalai University , Annamalai Nagar, Chidabmbaram, India
| | - Ravi Prabhu
- Senior Resident, Department of General Surgery, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth , Pondicherry, India
| | - Narayanasamy Subbaraju Kannan
- Associate Professor, Department of General Surgery, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth , Pondicherry, India
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10
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Smith-Harrison LI, Farhi J, Costabile RA, Smith RP. Case Report: Delayed presentation of penile epidermoid cyst following reconstruction for Peyronie's disease. F1000Res 2016; 4:1337. [PMID: 26835001 PMCID: PMC4706047 DOI: 10.12688/f1000research.7232.1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/28/2015] [Indexed: 12/01/2022] Open
Abstract
Penile masses are a concerning finding for both patient and clinician upon initial presentation. There is a wide differential for penile masses from the benign (fibrous plaques, cysts, ulcerative lesions, benign penile pearly papules, etc.) to more concerning malignant lesions. A proper history and physical is the first step to determining the etiology of the mass and any future clinical interventions. In this paper, we review a case of a 73-year-old male who is found to have an enlarging mass during work-up for possible placement of inflatable penile prosthesis. Fortunately, the mass was determined to be a benign epidermoid cyst presenting thirty years after reconstruction for Peyronie’s disease using dermal penile skin graft. With this unique presentation we review the scant literature on penile mass formation following Peyronie’s repair.
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Affiliation(s)
- Luriel I Smith-Harrison
- Department of Urology, University of Virginia Health System, Charlottesville, VA, 22908, USA
| | - Jacques Farhi
- Department of Urology, University of Virginia Health System, Charlottesville, VA, 22908, USA
| | - Raymond A Costabile
- Department of Urology, University of Virginia Health System, Charlottesville, VA, 22908, USA
| | - Ryan P Smith
- Department of Urology, University of Virginia Health System, Charlottesville, VA, 22908, USA
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11
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Affiliation(s)
- Hong-Jie Chen
- Department of Urology, The First Ren Ming Hospital of Lanzhou, Lanzhou 730050, China
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12
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Lezcano C, Chaux A, Velazquez EF, Cubilla AL. Clinicopathological features and histogenesis of penile cysts. Semin Diagn Pathol 2015; 32:245-8. [DOI: 10.1053/j.semdp.2014.12.014] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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13
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Penile epidermal inclusion cyst: the importance of surgical care. EUROPEAN JOURNAL OF PLASTIC SURGERY 2015. [DOI: 10.1007/s00238-014-0991-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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14
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Cormio L, Mancini V, Sanguedolce F, Massenio P, Fucci L, Bufo P, Traficante A, Carrieri G. Epidermoid cyst of the coronal sulcus mimicking penile cancer: a case report. J Med Case Rep 2014; 8:179. [PMID: 24906506 PMCID: PMC4070339 DOI: 10.1186/1752-1947-8-179] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2014] [Accepted: 05/06/2014] [Indexed: 11/10/2022] Open
Abstract
Introduction Epidermoid cysts represent common benign tumors occurring anywhere in the body but very rarely in the penis. Only a few cases of penile localization have been reported in the literature so far, most of them being congenital and/or idiopathic, usually presenting in children as slow-growing, solitary, well-delimited cystic lesions. Here, we describe the case of a patient with a penile epidermoid cyst presenting as an ulcerated lesion of the coronal sulcus, thus mimicking penile cancer. Case presentation A 36-year-old Caucasian man presented with a three-month history of a rapidly growing asymptomatic ulcerated lesion in the ventral portion of the penile coronal sulcus. At surgical exploration, the area under the ulcerated lesion had a well-demarcated cystic shape; following its wide excision, an intraoperative histological examination revealed an epidermoid cyst. No recurrence had occurred at nine years of follow-up. Conclusions Rare benign tumors of the penis, like the described epidermoid cyst, may mimic cancer. Nevertheless, penile ulcerated lesions should always be surgically explored as wide excision and intraoperative histological examination remain the only means of obtaining a precise disease definition and, consequently, administering the appropriate treatment.
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Affiliation(s)
- Luigi Cormio
- Department of Urology and Renal Transplantation, University of Foggia, Viale Luigi Pinto 1, 71121 Foggia, Italy.
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15
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Ballouhey Q, Longis B, Couvrat-Carcauzon V, Gardic S, Piguet C, Berenguer D, Fourcade L. Neurofibroma and epidermoid cyst: unexpected findings after first foreskin retraction. Urology 2013; 82:1419-20. [PMID: 23958511 DOI: 10.1016/j.urology.2013.06.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2013] [Revised: 06/04/2013] [Accepted: 06/07/2013] [Indexed: 11/16/2022]
Abstract
We report here 2 unusual cases of tumor of the glans penis in children. Abnormal findings were found on a 12-year-old and a 13-year-old boy soon after their first foreskin retraction. Initial medical examination suggested inclusions of smegma and they were referred to our Department of Pediatric Urology. Complete resection was performed under general anesthesia. Histologic examination revealed an epidermoid cyst in the first patient and a solitary neurofibroma in the second. These patients represent respectively the third and the second cases of such entities described in the pediatric age group. Cautious examination is required for persistent inclusions of smegma.
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Affiliation(s)
- Quentin Ballouhey
- Department of Pediatric Surgery, Children Hospital, University of Limoges, France.
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16
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Sağlam HS, Kumsar S, Köse O, Adsan O. A unique scrotal extratesticular epidermod cyst attached to the seminal vesicles. Can Urol Assoc J 2013; 7:E244-7. [PMID: 23671535 DOI: 10.5489/cuaj.546] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
A 46-year-old man was admitted with a scrotal long standing painless mass. The workup included physical examination, alpha-fetoprotein (αFP) and beta-human chorionic gonadotropin (β-hCG) analyses, scrotal ultrasound, magnetic resonance imaging and urethrocystoscopy. Surgical exploration revealed a separate mass between the testes extending superiorly with a thin stalk. It was dissected easily to the anterior aspect of the seminal vesicles and removed from the junction to the seminal vesicles. Pathology reported an epidermoid cyst. To our knowledge this is the first case of a scrotal extratesticular epidermoid cyst attached to the seminal vesicles.
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Affiliation(s)
- Hasan Salih Sağlam
- Sakarya University Medical Faculty, Department of Urology, Sakarya, Turkey
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17
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Jung JH, Eom M, Arkoncel FRP, Sung YH, Kim W, Byun HK, Joo JM, Kim KJ, Kim SJ. Penile epidermal cyst in a patient with augmentation penoplasty. Korean J Urol 2013; 54:207-8. [PMID: 23524950 PMCID: PMC3604577 DOI: 10.4111/kju.2013.54.3.207] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2011] [Accepted: 09/06/2011] [Indexed: 11/23/2022] Open
Abstract
A 44-year-old male patient who had undergone augmentation penoplasty 20 years previously presented with a slowly growing penoscrotal mass. The penile mass was excised totally and the pathologic diagnosis was an epidermal cyst. Epidermal cysts are benign disorders that can occur in any part of the body. However, an epidermal cyst as a late complication of augmentation penoplasty is extremely rare. We report this case of a penile epidermal cyst that developed after augmentation penoplasty.
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Affiliation(s)
- Jae Hung Jung
- Department of Urology, Yonsei University Wonju College of Medicine, Wonju, Korea
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18
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Ramareddy RS, Alladi A, Siddappa OS. Urethral duplication: Experience of four cases. J Indian Assoc Pediatr Surg 2012; 17:111-5. [PMID: 22869976 PMCID: PMC3409898 DOI: 10.4103/0971-9261.98127] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AIM Our experience of 4 cases of urethral duplication is reported here. MATERIALS AND METHODS A retrospective chart review. RESULTS The age at presentation varied from newborn to 10 years. The clinical presentation ranged from prepubic sinus to diphallus urethra. There were 2 each incomplete duplication with only external openings (Type IA) and complete duplication of Effmann Type IIA2. All underwent complete excision of accessory urethra and corrections of associated anomalies. CONCLUSIONS Urethral duplications have a varied presentation. At follow up, all are asymptomatic with good cosmetic result.
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Affiliation(s)
- Raghu S Ramareddy
- Department of Pediatric Surgery, Vanivilas Hospital, Bangalore Medical College and Research Institute, Bangalore, India
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19
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Kalkan M, Şahin C, Özyılmaz S, Uçmaklı E. Multiple Epidermoid Cysts of Penis. ELECTRONIC JOURNAL OF GENERAL MEDICINE 2012. [DOI: 10.29333/ejgm/82545] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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20
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Saini P, Mansoor MN, Jalali S, Sharma A. Penile epidermal inclusion cyst. Indian J Pediatr 2010; 77:815-6. [PMID: 20589475 DOI: 10.1007/s12098-010-0106-1] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2009] [Accepted: 12/18/2009] [Indexed: 11/30/2022]
Abstract
We report a case of epidermal inclusion cyst of penis in a five-year-old boy, who had presented to the outpatient department of our hospital. Epidermal inclusion cysts are benign lesions that can develop in any part of the body. However, the finding of an epidermal inclusion cyst in the penis is rare. The child was operated and discharged uneventfully. The objective of reporting this case is to highlight the rare possibility of an inclusion cyst arising from penis as a late complication of circumcision.
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Affiliation(s)
- Pradeep Saini
- Department of Surgery, ESI Model Hospital, Noida, UP, India.
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Papali AC, Alpert SA, Edmondson JD, Maizels M, Yerkes E, Hagerty J, Chaviano A, Kaplan WE. A review of pediatric glans malformations: a handy clinical reference. J Urol 2008; 180:1737-42. [PMID: 18721953 DOI: 10.1016/j.juro.2008.04.079] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2007] [Indexed: 10/21/2022]
Abstract
PURPOSE Lesions of the pediatric glans penis are an uncommon but important aspect of pediatric urological care. We reviewed the available literature on this topic and did not identify a comprehensive reference resource. We compiled our multi-institutional experience with such conditions to prepare a handy clinical reference source. MATERIALS AND METHODS The diversity of pediatric glans penis lesions was documented by searching the English and nonEnglish literature as well as the archives at our institutions. Cases were included in the study if the patient(s) identified were younger than 18 years at initial presentation or documented to have first had a glans penis lesion when younger than 18 years. Hypospadiac-epispadiac anomalies of the glans were excluded. RESULTS From our institutions we identified 6 new cases of various pediatric glans lesions. Altogether the literature describes 137 distinct nondiphallia glans lesions and more than 100 cases of diphallia, including glans duplication. The nondiphallia reports consist of a total of 61 cystic lesions (44%), 33 vascular malformations (24%), 20 dermatological lesions (15%), 20 infectious lesions (15%) and 3 neurogenic lesions (2%). We did not identify a compact resource to compare these anomalies. Visual comparison permits structuring a differential diagnosis and determining urological treatment, which is typically excisional biopsy, laser treatment, sclerotherapy or topical steroid administration. CONCLUSIONS We present a visual reference of varied lesions of the pediatric glans penis, including 6 new cases, with urological significance. These lesions are always benign but they typically require surgical excision for a definitive pathological diagnosis.
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Affiliation(s)
- Alfred C Papali
- Department of Medicine, Georgetown University Hospital, Washington, DC, USA
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Abstract
Preputium is the extended part of the foreskin of the penis and covers the glans penis. Several congenital anomalies of the preputium such as disproportionate preputial growth, epidermoid cyst, and phimosis have been reported previously. Although lack of the ventral part of preputium is associated with hypospadias, there are no articles about complete agenesis of the preputium. Here, we report a case with the diagnosis of "complete preputial agenesis." This case is the first in our knowledge.
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Abstract
Although cutaneous epidermoid cysts are common lesions, penile localization of them is quite rare especially in elderly ages. A case of 70-year-old man with a rapidly growing penile epidermoid cyst that extended to under the symphysis pubis is reported. The cystic mass was excised totally and histopathologic examination revealed the epidermoid cyst. There has been no finding of recurrence for one year follow-up period.
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Affiliation(s)
- Ali Unsal
- Department of Urology Faith University, School of Medicine, Emek, Ankara, Turkey.
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LIOU LOUISS, MONTAGUE DROGOK, ANGERMEIER KENNETHW. Dermal Graft Repair of Peyronie’s Disease Complicated by Epidermoid Cyst. J Urol 2003. [DOI: 10.1016/s0022-5347(05)63970-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- LOUIS S. LIOU
- From the Section of Prosthetic Surgery and Genitourethral Reconstruction, Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio
| | - DROGO K. MONTAGUE
- From the Section of Prosthetic Surgery and Genitourethral Reconstruction, Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio
| | - KENNETH W. ANGERMEIER
- From the Section of Prosthetic Surgery and Genitourethral Reconstruction, Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio
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