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阴茎皮下环状肉芽肿 3 例:一种常见疾病的罕见表现。

Three cases of subcutaneous granuloma annulare of the penis: a rare presentation of a common disease.

机构信息

Department of Urology, Geisinger Medical Center, Danville, Pennsylvania 17822, USA.

出版信息

Urology. 2011 Sep;78(3):508-10. doi: 10.1016/j.urology.2011.04.031. Epub 2011 Jul 13.

DOI:10.1016/j.urology.2011.04.031
PMID:21741682
Abstract

OBJECTIVE

To describe three patients who presented to a single institution within four years of each other with isolated granuloma annulare of the penis. Granuloma annulare is an inflammatory disease of the dermis that can affect men of any age including childhood. Granuloma annulare of the penis is a remarkably uncommon presentation with only 12 cases previously reported.

METHODS

A retrospective review of pathologic records was conducted confirming three cases of penile granuloma annulare diagnosed at our institution.

RESULTS

The three cases are described in detail including the history, presentation, histological findings and treatment of each patient. The clinical variants, characteristic histology, classic clinical presentation, differential diagnosis and recurrence following surgery of granuloma annulare are reviewed.

CONCLUSION

We describe three individuals from a single institution with isolated granuloma annulare of the penis suggesting this condition is more common than previously thought. Patients with penile granuloma annulare may present to practicing urologists and it is important to be familiar with this idiopathic subcutaneous disorder in order to avoid unnecessary aggressive surgery.

摘要

目的

描述在四年内,三例单独发生于阴茎的环状肉芽肿患者,他们均就诊于一家机构。环状肉芽肿是一种真皮炎症性疾病,可发生于任何年龄的男性,包括儿童。环状肉芽肿累及阴茎极为罕见,既往仅报道过 12 例。

方法

对我院确诊的 3 例阴茎环状肉芽肿患者的病理记录进行回顾性分析。

结果

详细描述了这 3 例患者的病史、临床表现、组织学发现和治疗情况。回顾了环状肉芽肿的临床变异型、特征性组织学、典型临床表现、鉴别诊断以及手术切除后的复发情况。

结论

我们描述了 3 例来自同一机构的孤立性阴茎环状肉芽肿患者,提示该疾病比之前认为的更为常见。环状肉芽肿累及阴茎的患者可能会就诊于泌尿科医生,熟悉这种特发性皮下疾病对于避免不必要的激进手术非常重要。

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