Macki Mohamed, Anand Sharath Kumar, Jaratli Hayan, Dabaja Ali A
Department of Neurosurgery, Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202 USA.
Department of Pathology, Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202 USA.
Basic Clin Androl. 2019 Jan 28;29:1. doi: 10.1186/s12610-018-0081-3. eCollection 2019.
Penile lymphangiomas are rare manifestations of lymphangiomas or lymphatic malformations which are more commonly found in the head or neck region of the body. Lymphangiomas are further categorized as lymphangioma circumscriptum, cavernous lymphangioma, cystic hygroma, or acquired lymphangiomas (also known as lymphangiectasia), based on their depth and etiology.
A literature review revealed only 30 cases of penile lymphangioma between 1947 and March 30, 2018. Several causes were attributed to the acquired penile lymphangiomas, including trauma, phimosis, and infection. While penile lymphangiomas can be initially mistaken for an infection, a thorough history and physical examination is sufficient to clinically diagnose a lymphangioma of the penis. Historically, surgical excision has been the gold standard of treatment for this condition. When asymptomatic, patients may opt for conservative management with avoidance of mechanical trauma alone. Other physicians have revealed novel treatment plans to rid patients of their penile lymphangioma such as a staged laser procedure.
In this article, we elucidate the causes, symptoms, treatments, and outcomes associated with penile lymphangiomas found in the literature while also presenting the case of a 30-year-old African-American man diagnosed with acquired penile lymphangioma.
阴茎淋巴管瘤是淋巴管瘤或淋巴管畸形的罕见表现，后者更常见于身体的头颈部。根据其深度和病因，淋巴管瘤可进一步分为局限性淋巴管瘤、海绵状淋巴管瘤、囊状水瘤或后天性淋巴管瘤（也称为淋巴管扩张症）。
文献综述显示，在1947年至2018年3月30日期间，仅有30例阴茎淋巴管瘤病例。后天性阴茎淋巴管瘤有多种病因，包括创伤、包茎和感染。虽然阴茎淋巴管瘤最初可能被误诊为感染，但详细的病史和体格检查足以在临床上诊断阴茎淋巴管瘤。从历史上看，手术切除一直是这种疾病的金标准治疗方法。无症状时，患者可选择仅避免机械性创伤的保守治疗。其他医生也提出了新的治疗方案来消除患者的阴茎淋巴管瘤，如分期激光手术。
在本文中，我们阐明了文献中发现的与阴茎淋巴管瘤相关的病因、症状、治疗方法和结果，同时还介绍了一名30岁非裔美国男性被诊断为后天性阴茎淋巴管瘤的病例。
