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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 : 000638

Lymphedematous 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. Sesterhenn

Source :

RBID : Pascal:04-0334932

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A02 01      @0 HPCQA4
A03   1    @0 Human pathol.
A05       @2 35
A06       @2 2
A08 01  1  ENG  @1 Lymphedematous fibroepithelial polyps of the glans penis and prepuce: A clinicopathologic study of 7 cases demonstrating a strong association with chronic condom catheter use
A11 01  1    @1 FETSCH (John F.)
A11 02  1    @1 DAVIS (Charles J. JR)
A11 03  1    @1 HALLMAN (James R.)
A11 04  1    @1 CHUNG (Luke S.)
A11 05  1    @1 LUPTON (George P.)
A11 06  1    @1 SESTERHENN (Isabell A.)
A14 01      @1 Department of Soft Tissue Pathology, Department of Dermatopathology, and Department of Genitourinary Pathology, Armed Forces Institute of Pathology @2 Washington, DC @3 USA
A20       @1 190-195
A21       @1 2004
A23 01      @0 ENG
A43 01      @1 INIST @2 16045 @5 354000119250630080
A44       @0 0000 @1 © 2004 INIST-CNRS. All rights reserved.
A45       @0 28 ref.
A47 01  1    @0 04-0334932
A60       @1 P
A61       @0 A
A64 01  1    @0 Human pathology
A66 01      @0 USA
C01 01    ENG  @0 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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C03 12  X  ENG  @0 Use @5 17
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C03 13  X  ENG  @0 Stromal cell @5 18
C03 13  X  SPA  @0 Célula estromal @5 18
C03 14  X  FRE  @0 Immunohistochimie @5 19
C03 14  X  ENG  @0 Immunohistochemistry @5 19
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C07 01  X  ENG  @0 Male genital system @5 37
C07 01  X  SPA  @0 Aparato genital macho @5 37
C07 02  X  FRE  @0 Appareil circulatoire pathologie @5 38
C07 02  X  ENG  @0 Cardiovascular disease @5 38
C07 02  X  SPA  @0 Aparato circulatorio patología @5 38
C07 03  X  FRE  @0 Lymphatique pathologie @5 39
C07 03  X  ENG  @0 Lymphatic vessel disease @5 39
C07 03  X  SPA  @0 Linfático patología @5 39
N21       @1 194
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 04-0334932 INIST
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:04-0334932

Le document en format XML

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<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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</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Histopathology</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Histopatología</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Etude cas</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Case study</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Estudio caso</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Association</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Association</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Asociación</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Chronique</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Chronic</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Crónico</s0>
<s5>12</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Condom</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Condom</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Condón</s0>
<s5>14</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Cathéter</s0>
<s5>15</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Catheter</s0>
<s5>15</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Catéter</s0>
<s5>15</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Utilisation</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Use</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Uso</s0>
<s5>17</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Cellule stromale</s0>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Stromal cell</s0>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Célula estromal</s0>
<s5>18</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Immunohistochimie</s0>
<s5>19</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>Immunohistochemistry</s0>
<s5>19</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Inmunohistoquímica</s0>
<s5>19</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE">
<s0>Partie molle</s0>
<s5>20</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG">
<s0>Soft tissue</s0>
<s5>20</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA">
<s0>Parte blanda</s0>
<s5>20</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE">
<s0>Anatomopathologie</s0>
<s5>21</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG">
<s0>Anatomic pathology</s0>
<s5>21</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA">
<s0>Anatomía patológica</s0>
<s5>21</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Appareil génital mâle</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Male genital system</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Aparato genital macho</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Appareil circulatoire pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Lymphatique pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>39</s5>
</fC07>
<fN21>
<s1>194</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
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<server>
<NO>PASCAL 04-0334932 INIST</NO>
<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>
<LO>INIST-16045.354000119250630080</LO>
<ID>04-0334932</ID>
</server>
</inist>
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