Lymphedematous fibroepithelial polyps of the glans penis and prepuce: A clinicopathologic study of 7 cases demonstrating a strong association with chronic condom catheter use
Identifieur interne : 000637 ( PascalFrancis/Corpus ); précédent : 000636; suivant : 000638Lymphedematous fibroepithelial polyps of the glans penis and prepuce: A clinicopathologic study of 7 cases demonstrating a strong association with chronic condom catheter use
Auteurs : John F. Fetsch ; Charles J. Jr Davis ; James R. Hallman ; Luke S. Chung ; George P. Lupton ; Isabell A. SesterhennSource :
- Human pathology [ 0046-8177 ] ; 2004.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
This report describes an underrecognized entity of the penis that is associated with chronic condom catheter use and phimosis. Our study group consisted of 7 patients who presented with polypoid or cauliflowerlike masses that involved the glans penis or prepuce and that ranged in size from 2 to 7.5 cm in greatest dimension (median size, 2.5 cm). The majority of lesions affected the ventral surface of the glans, near the urethral meatus. The patients ranged in age from 25 to 58 years (median age, 40 years) at the time of initial surgical resection. The preoperative duration of the lesions ranged from 6 months to 10 years. Five patients had a history of long-term condom catheter use (duration: 5 to 21 years), and 1 patient had paraphimosis. The background history for 1 patient is unknown. Histologically, all specimens had a polypoid configuration and a keratinizing squamous epithelial surface. The underlying stroma was notably edema-tous, and there was vascular dilation of preexisting vessels, and in many instances, a focal mild small vessel proliferation. The stroma had mildly to moderately increased cellularity with mononucleated and multinucleated mesenchymal cells. A mild inflammatory infiltrate was often present. Two cases were examined with immunohistochemistry, and the stromal cells had limited immunoreactivity for muscle-specific actin, α-smooth muscle actin, and desmin and had no reactivity for S100 protein or CD34. Surgical intervention was local in all instances. Follow-up information was available for 5 of the 7 patients (71%), with a mean follow-up interval of 11 years 4 months. Two patients developed a local recurrence of the process at intervals of less than 1 years and 3 years 7 months. Both recurrent lesions were also managed by local excision.
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NO : | PASCAL 04-0334932 INIST |
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ET : | Lymphedematous fibroepithelial polyps of the glans penis and prepuce: A clinicopathologic study of 7 cases demonstrating a strong association with chronic condom catheter use |
AU : | FETSCH (John F.); DAVIS (Charles J. JR); HALLMAN (James R.); CHUNG (Luke S.); LUPTON (George P.); SESTERHENN (Isabell A.) |
AF : | Department of Soft Tissue Pathology, Department of Dermatopathology, and Department of Genitourinary Pathology, Armed Forces Institute of Pathology/Washington, DC/Etats-Unis |
DT : | Publication en série; Niveau analytique |
SO : | Human pathology; ISSN 0046-8177; Coden HPCQA4; Etats-Unis; Da. 2004; Vol. 35; No. 2; Pp. 190-195; Bibl. 28 ref. |
LA : | Anglais |
EA : | This report describes an underrecognized entity of the penis that is associated with chronic condom catheter use and phimosis. Our study group consisted of 7 patients who presented with polypoid or cauliflowerlike masses that involved the glans penis or prepuce and that ranged in size from 2 to 7.5 cm in greatest dimension (median size, 2.5 cm). The majority of lesions affected the ventral surface of the glans, near the urethral meatus. The patients ranged in age from 25 to 58 years (median age, 40 years) at the time of initial surgical resection. The preoperative duration of the lesions ranged from 6 months to 10 years. Five patients had a history of long-term condom catheter use (duration: 5 to 21 years), and 1 patient had paraphimosis. The background history for 1 patient is unknown. Histologically, all specimens had a polypoid configuration and a keratinizing squamous epithelial surface. The underlying stroma was notably edema-tous, and there was vascular dilation of preexisting vessels, and in many instances, a focal mild small vessel proliferation. The stroma had mildly to moderately increased cellularity with mononucleated and multinucleated mesenchymal cells. A mild inflammatory infiltrate was often present. Two cases were examined with immunohistochemistry, and the stromal cells had limited immunoreactivity for muscle-specific actin, α-smooth muscle actin, and desmin and had no reactivity for S100 protein or CD34. Surgical intervention was local in all instances. Follow-up information was available for 5 of the 7 patients (71%), with a mean follow-up interval of 11 years 4 months. Two patients developed a local recurrence of the process at intervals of less than 1 years and 3 years 7 months. Both recurrent lesions were also managed by local excision. |
CC : | 002B24O; 002B12B04 |
FD : | Lymphoedème; Polype; Pénis; Prépuce; Forme clinique; Histopathologie; Etude cas; Association; Chronique; Condom; Cathéter; Utilisation; Cellule stromale; Immunohistochimie; Partie molle; Anatomopathologie |
FG : | Appareil génital mâle; Appareil circulatoire pathologie; Lymphatique pathologie |
ED : | Lymphedema; Polyp; Penis; Prepuce; Clinical form; Histopathology; Case study; Association; Chronic; Condom; Catheter; Use; Stromal cell; Immunohistochemistry; Soft tissue; Anatomic pathology |
EG : | Male genital system; Cardiovascular disease; Lymphatic vessel disease |
SD : | Linfedema; Pólipo; Pene; Prepucio; Forma clínica; Histopatología; Estudio caso; Asociación; Crónico; Condón; Catéter; Uso; Célula estromal; Inmunohistoquímica; Parte blanda; Anatomía patológica |
LO : | INIST-16045.354000119250630080 |
ID : | 04-0334932 |
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Pascal:04-0334932Le document en format XML
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<front><div type="abstract" xml:lang="en">This report describes an underrecognized entity of the penis that is associated with chronic condom catheter use and phimosis. Our study group consisted of 7 patients who presented with polypoid or cauliflowerlike masses that involved the glans penis or prepuce and that ranged in size from 2 to 7.5 cm in greatest dimension (median size, 2.5 cm). The majority of lesions affected the ventral surface of the glans, near the urethral meatus. The patients ranged in age from 25 to 58 years (median age, 40 years) at the time of initial surgical resection. The preoperative duration of the lesions ranged from 6 months to 10 years. Five patients had a history of long-term condom catheter use (duration: 5 to 21 years), and 1 patient had paraphimosis. The background history for 1 patient is unknown. Histologically, all specimens had a polypoid configuration and a keratinizing squamous epithelial surface. The underlying stroma was notably edema-tous, and there was vascular dilation of preexisting vessels, and in many instances, a focal mild small vessel proliferation. The stroma had mildly to moderately increased cellularity with mononucleated and multinucleated mesenchymal cells. A mild inflammatory infiltrate was often present. Two cases were examined with immunohistochemistry, and the stromal cells had limited immunoreactivity for muscle-specific actin, α-smooth muscle actin, and desmin and had no reactivity for S100 protein or CD34. Surgical intervention was local in all instances. Follow-up information was available for 5 of the 7 patients (71%), with a mean follow-up interval of 11 years 4 months. Two patients developed a local recurrence of the process at intervals of less than 1 years and 3 years 7 months. Both recurrent lesions were also managed by local excision.</div>
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<ET>Lymphedematous fibroepithelial polyps of the glans penis and prepuce: A clinicopathologic study of 7 cases demonstrating a strong association with chronic condom catheter use</ET>
<AU>FETSCH (John F.); DAVIS (Charles J. JR); HALLMAN (James R.); CHUNG (Luke S.); LUPTON (George P.); SESTERHENN (Isabell A.)</AU>
<AF>Department of Soft Tissue Pathology, Department of Dermatopathology, and Department of Genitourinary Pathology, Armed Forces Institute of Pathology/Washington, DC/Etats-Unis</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Human pathology; ISSN 0046-8177; Coden HPCQA4; Etats-Unis; Da. 2004; Vol. 35; No. 2; Pp. 190-195; Bibl. 28 ref.</SO>
<LA>Anglais</LA>
<EA>This report describes an underrecognized entity of the penis that is associated with chronic condom catheter use and phimosis. Our study group consisted of 7 patients who presented with polypoid or cauliflowerlike masses that involved the glans penis or prepuce and that ranged in size from 2 to 7.5 cm in greatest dimension (median size, 2.5 cm). The majority of lesions affected the ventral surface of the glans, near the urethral meatus. The patients ranged in age from 25 to 58 years (median age, 40 years) at the time of initial surgical resection. The preoperative duration of the lesions ranged from 6 months to 10 years. Five patients had a history of long-term condom catheter use (duration: 5 to 21 years), and 1 patient had paraphimosis. The background history for 1 patient is unknown. Histologically, all specimens had a polypoid configuration and a keratinizing squamous epithelial surface. The underlying stroma was notably edema-tous, and there was vascular dilation of preexisting vessels, and in many instances, a focal mild small vessel proliferation. The stroma had mildly to moderately increased cellularity with mononucleated and multinucleated mesenchymal cells. A mild inflammatory infiltrate was often present. Two cases were examined with immunohistochemistry, and the stromal cells had limited immunoreactivity for muscle-specific actin, α-smooth muscle actin, and desmin and had no reactivity for S100 protein or CD34. Surgical intervention was local in all instances. Follow-up information was available for 5 of the 7 patients (71%), with a mean follow-up interval of 11 years 4 months. Two patients developed a local recurrence of the process at intervals of less than 1 years and 3 years 7 months. Both recurrent lesions were also managed by local excision.</EA>
<CC>002B24O; 002B12B04</CC>
<FD>Lymphoedème; Polype; Pénis; Prépuce; Forme clinique; Histopathologie; Etude cas; Association; Chronique; Condom; Cathéter; Utilisation; Cellule stromale; Immunohistochimie; Partie molle; Anatomopathologie</FD>
<FG>Appareil génital mâle; Appareil circulatoire pathologie; Lymphatique pathologie</FG>
<ED>Lymphedema; Polyp; Penis; Prepuce; Clinical form; Histopathology; Case study; Association; Chronic; Condom; Catheter; Use; Stromal cell; Immunohistochemistry; Soft tissue; Anatomic pathology</ED>
<EG>Male genital system; Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Linfedema; Pólipo; Pene; Prepucio; Forma clínica; Histopatología; Estudio caso; Asociación; Crónico; Condón; Catéter; Uso; Célula estromal; Inmunohistoquímica; Parte blanda; Anatomía patológica</SD>
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<ID>04-0334932</ID>
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