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霍奇金淋巴瘤相关巨大阴囊淋巴水肿的成功手术治疗:一例罕见病例报告。

Successful surgical treatment of giant scrotal lymphedema associated with Hodgkin's lymphoma: A rare case report.

作者信息

Binjawhar Abdulrahman, El-Tholoth Hossam S, Alzayed Ebtehal Mohammed, Althobity Abdulmajeed

机构信息

Urology Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Plastic Surgery Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

出版信息

Urol Case Rep. 2021 May 7;37:101708. doi: 10.1016/j.eucr.2021.101708. eCollection 2021 Jul.

Abstract

Scrotal lymphedema is a rare disease, caused by obstruction of the lymphatic vessels draining into the scrotum, and may be induced by malignant lymphoma. A 27-year-old male, who was treated for Hodgkin's lymphoma, presented with scrotal swelling for 3 years. We observed huge scrotal swelling with extension to the suprapubic region and lower right limb, a significantly thickened scrotal wall, and nonpalpable testes. The patient underwent scrotal lymphedema excision followed by surgical scrotal and penile reconstruction. Treatment of scrotal lymphedema is challenging. However, we were satisfied with our surgical result. Our patient experienced both physical and psychological improvements.

摘要

阴囊淋巴水肿是一种罕见疾病,由流入阴囊的淋巴管阻塞引起,可能由恶性淋巴瘤诱发。一名曾接受霍奇金淋巴瘤治疗的27岁男性,出现阴囊肿胀3年。我们观察到巨大的阴囊肿胀,向上延伸至耻骨上区域及右下肢,阴囊壁明显增厚,睾丸无法触及。该患者接受了阴囊淋巴水肿切除术,随后进行了阴囊和阴茎重建手术。阴囊淋巴水肿的治疗具有挑战性。然而,我们对手术结果感到满意。我们的患者在身体和心理方面都有改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a44/8134958/498b31134710/gr1.jpg

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