Yan Sheng, Zou Yuhua, Liao Xinzhi, Zhong Cunzhi, Liu Shengyin, Huang Sigen, Zou Junrong, Liu Quanliang
Department of Urology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, China.
Department of Anesthesiology, Operation Room, The First Affiliated Hospital of Gannan Medical University, Ganzhou, China.
Front Surg. 2023 Jan 6;9:1010050. doi: 10.3389/fsurg.2022.1010050. eCollection 2022.
Superficial angiomyxoma (SA) is a rare benign tumor that occurs either in the superficial dermis or subcutaneously. It often occurs in the trunk, neck, or limbs, and grows slowly. The diameter of the tumor is usually less than 5 cm. A giant SA of the perineum in men is very rare. We detailed the diagnosis and treatment of male patients with perineal SA and performed a literature review. We report a case of a 42-year-old male patient. He was admitted to hospital with a perineal mass found more than 1 year previously. A pelvic contrast-enhanced computed tomography scan in our hospital suggests that a round slightly hypointense foci of about 6.0 cm × 8.6 cm × 4.5 cm in size with still clear borders was seen below the penile corpus cavernosum in the perineum. We performed a perineal mass excision under continuous epidural anesthesia. A postoperative pathology report diagnosed perineal SA. There was no recurrence at follow-up for 27 months up to May 2022. Perineal SA is rare and should be combined with patient history and imaging to ensure complete excision of the mass margins. Adherence to long-term postoperative follow-up is the key to curing this case.
浅表血管黏液瘤（SA）是一种罕见的良性肿瘤，发生于真皮浅层或皮下。它常发生于躯干、颈部或四肢，生长缓慢。肿瘤直径通常小于5厘米。男性会阴区的巨大SA非常罕见。我们详细介绍了男性会阴SA患者的诊断和治疗，并进行了文献综述。我们报告一例42岁男性患者。他因1年多前发现的会阴肿物入院。我院盆腔增强CT扫描提示，会阴阴茎海绵体下方可见一个大小约为6.0厘米×8.6厘米×4.5厘米的圆形稍低密度灶，边界仍清晰。我们在连续硬膜外麻醉下进行了会阴肿物切除术。术后病理报告诊断为会阴SA。截至2022年5月随访27个月无复发。会阴SA罕见，应结合患者病史及影像学检查以确保完整切除肿物边缘。坚持术后长期随访是治愈本病的关键。
