Scrotal Cystic Lymphangioma: The Misdiagnosed Scrotal Mass
Identifieur interne : 001996 ( Istex/Curation ); précédent : 001995; suivant : 001997Scrotal Cystic Lymphangioma: The Misdiagnosed Scrotal Mass
Auteurs : Richard S. Hurwitz [États-Unis] ; Ellen Shapiro [États-Unis] ; William C. Hulbert [États-Unis] ; David A. Diamond [États-Unis] ; Anthony J. Casale [États-Unis] ; Richard C. Rink [États-Unis]Source :
- The Journal of Urology [ 0022-5347 ] ; 1997.
Abstract
Purpose We report 7 cases of scrotal cystic lymphangioma and review the literature on this unusual lesion, which is often misdiagnosed as other conditions and treated incorrectly.Materials and Methods We retrospectively reviewed the medical records of 7 patients with scrotal cystic lymphangioma treated from 1984 to 1996 at 5 institutions.Results Mean patient age at presentation was 3 years and painless scrotal swelling was the most common symptom. Physical examination demonstrated an unusual cystic scrotal mass with a normal testis and cord in most patients, and ultrasound in 4 showed a complex septated cystic mass. Preoperative misdiagnosis in all 7 patients included hernia, hydrocele, hematocele, varicocele and possible torsion. In 6 children the lesions were more extensive than expected with deep perineal and/or inguinal involvement, including 2 who also had pelvic and retroperitoneal extension. Incomplete excision led to recurrence in 4 patients.Conclusions Scrotal cystic lymphangioma presents as an unusual cystic scrotal mass. Although misdiagnosis has been common, awareness of the characteristic features of this lesion should lead to the correct preoperative diagnosis. When lymphangioma is suspected, imaging of the adjacent inguinal, perineal and pelvic regions should be performed. Complete excision is mandatory to prevent recurrence.
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DOI: 10.1016/S0022-5347(01)64419-7
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Hurwitz</name><affiliation wicri:level="2"><mods:affiliation>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, Indiana.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author><author><name sortKey="Shapiro, Ellen" sort="Shapiro, Ellen" uniqKey="Shapiro E" first="Ellen" last="Shapiro">Ellen Shapiro</name><affiliation wicri:level="2"><mods:affiliation>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, Indiana.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author><author><name sortKey="Hulbert, William C" sort="Hulbert, William C" uniqKey="Hulbert W" first="William C." last="Hulbert">William C. Hulbert</name><affiliation wicri:level="2"><mods:affiliation>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, Indiana.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author><author><name sortKey="Diamond, David A" sort="Diamond, David A" uniqKey="Diamond D" first="David A." last="Diamond">David A. Diamond</name><affiliation wicri:level="2"><mods:affiliation>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, Indiana.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author><author><name sortKey="Casale, Anthony J" sort="Casale, Anthony J" uniqKey="Casale A" first="Anthony J." last="Casale">Anthony J. Casale</name><affiliation wicri:level="2"><mods:affiliation>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, Indiana.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author><author><name sortKey="Rink, Richard C" sort="Rink, Richard C" uniqKey="Rink R" first="Richard C." last="Rink">Richard C. Rink</name><affiliation wicri:level="2"><mods:affiliation>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, Indiana.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:38114A8F5E7822BA323C7CA8D304C8DB1820F85B</idno><date when="1997" year="1997">1997</date><idno type="doi">10.1016/S0022-5347(01)64419-7</idno><idno type="url">https://api.istex.fr/document/38114A8F5E7822BA323C7CA8D304C8DB1820F85B/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001996</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001996</idno><idno type="wicri:Area/Istex/Curation">001996</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Scrotal Cystic Lymphangioma: The Misdiagnosed Scrotal Mass</title><author><name sortKey="Hurwitz, Richard S" sort="Hurwitz, Richard S" uniqKey="Hurwitz R" first="Richard S." last="Hurwitz">Richard S. Hurwitz</name><affiliation wicri:level="2"><mods:affiliation>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, Indiana.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author><author><name sortKey="Shapiro, Ellen" sort="Shapiro, Ellen" uniqKey="Shapiro E" first="Ellen" last="Shapiro">Ellen Shapiro</name><affiliation wicri:level="2"><mods:affiliation>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, Indiana.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author><author><name sortKey="Hulbert, William C" sort="Hulbert, William C" uniqKey="Hulbert W" first="William C." last="Hulbert">William C. Hulbert</name><affiliation wicri:level="2"><mods:affiliation>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, Indiana.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author><author><name sortKey="Diamond, David A" sort="Diamond, David A" uniqKey="Diamond D" first="David A." last="Diamond">David A. Diamond</name><affiliation wicri:level="2"><mods:affiliation>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, Indiana.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author><author><name sortKey="Casale, Anthony J" sort="Casale, Anthony J" uniqKey="Casale A" first="Anthony J." last="Casale">Anthony J. Casale</name><affiliation wicri:level="2"><mods:affiliation>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, Indiana.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author><author><name sortKey="Rink, Richard C" sort="Rink, Richard C" uniqKey="Rink R" first="Richard C." last="Rink">Richard C. Rink</name><affiliation wicri:level="2"><mods:affiliation>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis, Indiana.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>From the Kaiser Permanente Medical Center, Los Angeles, California, New York University School of Medicine, New York and University of Rochester School of Medicine and Dentistry, Rochester, New York, Children's Hospital, Harvard Medical School, Boston, Massachusetts, and Riley Children's Hospital, Indiana University School of Medicine, Indianapolis</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j">The Journal of Urology</title><title level="j" type="abbrev">JURO</title><idno type="ISSN">0022-5347</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1997">1997</date><biblScope unit="volume">158</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="1182">1182</biblScope><biblScope unit="page" to="1185">1185</biblScope></imprint><idno type="ISSN">0022-5347</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-5347</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose We report 7 cases of scrotal cystic lymphangioma and review the literature on this unusual lesion, which is often misdiagnosed as other conditions and treated incorrectly.Materials and Methods We retrospectively reviewed the medical records of 7 patients with scrotal cystic lymphangioma treated from 1984 to 1996 at 5 institutions.Results Mean patient age at presentation was 3 years and painless scrotal swelling was the most common symptom. Physical examination demonstrated an unusual cystic scrotal mass with a normal testis and cord in most patients, and ultrasound in 4 showed a complex septated cystic mass. Preoperative misdiagnosis in all 7 patients included hernia, hydrocele, hematocele, varicocele and possible torsion. In 6 children the lesions were more extensive than expected with deep perineal and/or inguinal involvement, including 2 who also had pelvic and retroperitoneal extension. Incomplete excision led to recurrence in 4 patients.Conclusions Scrotal cystic lymphangioma presents as an unusual cystic scrotal mass. Although misdiagnosis has been common, awareness of the characteristic features of this lesion should lead to the correct preoperative diagnosis. When lymphangioma is suspected, imaging of the adjacent inguinal, perineal and pelvic regions should be performed. Complete excision is mandatory to prevent recurrence.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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