Fariña L A, Palacio V, Sallés M, Fernández-Villanueva D, Vidal B, Menéndez P
Servicio de Urología, Hospital Monte Naranco, Oviedo, Asturias, España.
Arch Esp Urol. 1997 Jan-Feb;50(1):51-3.
To describe two patients with scrotal granuloma due to silicone oil migrated from the hip.
METHODS/RESULTS: Two male transsexuals without genitoplasty developed scrotal inflammatory masses after subcutaneous injection of silicone oil to remodel the hip contour. Imaging studies and pathologic examination disclosed lesions similar to those encountered in ruptured silicone breast implants.
Silicone migration to the scrotum through subdermal fascial planes can cause a granulomatous lesion similar to that of ruptured breast implants. The migratory pathway is similar to that of scrotal emphysema and, inversely, the dissemination of necrotizing fasciitis of the genitalia.
描述两例因硅油从臀部迁移至阴囊而导致阴囊肉芽肿的患者。
方法/结果：两名未进行生殖器整形的男性变性者在皮下注射硅油以重塑臀部轮廓后出现阴囊炎性肿块。影像学研究和病理检查显示病变与硅胶乳房植入物破裂时所见相似。
硅油通过皮下筋膜平面迁移至阴囊可导致类似乳房植入物破裂的肉芽肿性病变。迁移途径与阴囊气肿相似，反之，与生殖器坏死性筋膜炎的扩散途径相似。
