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阴囊血管瘤:一例报告及系统文献综述

Scrotal hemangioma: a case report and systematic literature review.

作者信息

Chang Zhe, Man Jiangwei, Wang Jirong, Gui Huiming, Niu Jiping, Yang Li

机构信息

Department of Urology, The Second Hospital of Lanzhou University, Lanzhou, China.

Gansu Province Clinical Research Center for Urology, Lanzhou, China.

出版信息

Front Oncol. 2025 Aug 20;15:1586677. doi: 10.3389/fonc.2025.1586677. eCollection 2025.

Abstract

PURPOSE

This study aimed to provide a case of scrotal hemangioma and examine its characteristics.

METHODS

We presented a case report involving a sixteen-year-old male, detailing symptoms, physical examination, imaging studies, diagnosis, and treatment. We conducted a thorough literature analysis of case reports and examined their clinical characteristics, pathological categorization, recurrence, and complications.

RESULTS

Our study comprised 21 patients with scrotal hemangioma. The average age was 27.14 years, with a range from 21 days to 84 years. 57.1% of the hemangiomas affected the organs. 61.9% of patients were situated on the right side of the scrotum. Ninety percent of patients experienced no pain. Merely 33.3% of patients exhibited additional symptoms, which encompassed azoospermia, hemorrhage, calcification, hydrocele, thrombosis, and ulceration. The predominant pathological classification was cavernous scrotal hemangioma, representing 38.1% of the cases. All patients received surgical resection, and the majority experienced neither relapse nor postoperative complications.

CONCLUSIONS

Scrotal hemangioma, an uncommon benign neoplasm in adolescents, frequently remains asymptomatic but may disrupt fertility and, in rare instances, lead to severe problems. Timely identification, diagnosis, and surgical intervention are essential for good patient outcomes.

摘要

目的

本研究旨在提供一例阴囊血管瘤病例并探讨其特征。

方法

我们呈现了一例涉及一名16岁男性的病例报告,详细描述了症状、体格检查、影像学检查、诊断和治疗情况。我们对病例报告进行了全面的文献分析,并研究了其临床特征、病理分类、复发情况和并发症。

结果

我们的研究包括21例阴囊血管瘤患者。平均年龄为27.14岁,范围从21天至84岁。57.1%的血管瘤累及器官。61.9%的患者位于阴囊右侧。90%的患者无疼痛。仅有33.3%的患者出现其他症状,包括无精子症、出血、钙化、鞘膜积液、血栓形成和溃疡。主要的病理分类是海绵状阴囊血管瘤,占病例的38.1%。所有患者均接受了手术切除,大多数患者既未复发也无术后并发症。

结论

阴囊血管瘤是青少年中一种罕见的良性肿瘤,通常无症状,但可能影响生育能力,在极少数情况下会导致严重问题。及时识别、诊断和手术干预对于患者的良好预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0827/12404914/5c2da26a4bbc/fonc-15-1586677-g001.jpg

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