Intrascrotal hemangioma

Ulcerated Scrotal Hemangioma in an 18-Month-Old Male Patient: A Case Report and Review of the Literature

Deep scrotal hemangiomas are rare. Less than 50 case reports have been published. After systematic research of the literature, we found less than 5 cases of ulcerated scrotal hemangioma. The aim of this case report is to illustrate the challenges of scrotal hemangiomas pose and their potential therapies based on the successful surgical treatment of an ulcerated scrotal hemangioma in an 18-month-old male patient.

MR Imaging of the Penis and Scrotum

Traditionally, due to its low cost, ready availability, and proved diagnostic accuracy, ultrasonography (US) has been the primary imaging modality for the evaluation of scrotal and, to a lesser extent, penile disease. However, US is limited by its relatively small useful field of view, operator dependence, and inability to provide much information on tissue characterization. Magnetic resonance (MR) imaging, with its excellent soft-tissue contrast and good spatial resolution, is increasingly being used as both a problem-solving tool in patients who have already undergone US and as a primary modality for the evaluation of suspected disease. Specifically, MR imaging can aid in differentiating between benign and malignant lesions seen at US, help define the extent of inflammatory processes or traumatic injuries, and play a vital role in locoregional staging of tumors. Consequently, it is becoming more important for radiologists to be familiar with the wide range of penile and scrotal disease entities and their MR imaging appearances. The authors review the basic anatomy of the penis and scrotum as seen at MR imaging and provide a basic protocol for penile and scrotal imaging, with emphasis on the advantages of MR imaging. Pathologic processes are organized into traumatic (including penile fracture and contusion), infectious or inflammatory (including Fournier gangrene and scrotal abscess), and neoplastic (including both benign and malignant scrotal and penile tumors) processes.

Scrotal hemangioma: a case report

We report a case of scrotal-hemangioma in a 14-year-old boy. Subcutaneous scrotal-perineal hemangioma may mimic an inguinal hernia, thus forming a diagnostic and therapeutic challenge. Histopathological study confirms the diagnosis. Definitive treatment by en bloc excision is recommended.

A case series of genital vascular anomalies in children and their management: lessons learned

OBJECTIVE

To review our experience with genital vascular anomalies and discuss the management considerations for patients with associated genitourinary defects.

METHODS

We reviewed the presentation, course, management considerations, surgical treatment, and follow-up of all cases of genital vascular anomalies treated at a single institution from January 2008 to October 2011. The lesions were classified according to the International Society for the Study of Vascular Anomalies. All patients were boys <18 years old.

RESULTS

We identified 3 patients with genital vascular anomalies. Of these 3 patients, 2 had an infantile hemangioma and 1 had a venous malformation. All lesions were identifiable on physical examination, and 2 of the patients presented within a few months of birth. One patient had associated genitourinary abnormalities that complicated his treatment. Scrotal ultrasonography and pelvic magnetic resonance imaging consistently showed the vascular anomalies to be highly vascular and distinct from the underlying testes. Both intrascrotal lesions were excised, and the cutaneous lesion was excised as a part of a larger genitourinary reconstruction. At a mean follow-up of 33 months (range 23-42), the intrascrotal infantile hemangioma had recurred, requiring repeat intervention, but the cutaneous hemangioma had not.

CONCLUSION

Vascular anomalies of the male genitalia are rare. Pelvic magnetic resonance imaging is useful for characterizing the internal extent of vascular anomalies and ultrasonography is useful in monitoring these lesions over time. The timing of surgery and the high recurrence rate are important considerations when planning surgical resection of genital vascular anomalies, especially when associated with concomitant genitourinary defects.

[Epididymis trombosed hemangioma in old patient. Presentation of 1 case with conceptual review and of the literature]

INTRODUCTION

Though theoretically in the paratesticular region one can develop any type of benign tumour of soft tissues, they are the lipomas, leiomyomas and adenomatoid tumours the most usual whereas the hemangiomas are less common. We contribute a new case of epididymis intrascrotal hemangioma (HI), valuing the bibliography that allows us to know the incidence and clinic-pathologic characteristics of these tumours.

MATERIAL AND METHOD

A 74-year-old patient includes for study with right scrotal tumour, who is practised orchiectomy. Hystopathologic study is realized. Of equal form there is realized a bibliographical examination of this type of tumours across Medline and of not index-linked search with conceptual review and of the literature.

RESULTS

The injury corresponds with a HI cavernous trombosed of epididymis with testicular parenchyma respected. Your hystopathologic diagnosis does not present problems, whereas the clinical one and ultrasonographic study, reaches the whole spectrum of tumours, benign and malignant of soft tissues. The number of intrascrotal hemangiomas of epididymis described in the literature is very limited.

CONCLUSIONS

The scrotal tumours are necessary a preoperatory clinical and sonographic study completely, in spite of the fact that they are diagnosed the majority after your surgical removal. The complex system of the tissues on the zone paratesticular implies that the differential enclosed diagnosis does not allow to differentiate, malignant tumours of benign. The low incident of many of these masses has determined the mistake of standardized protocols for your diagnosis but also for their unified treatment.