Hurwitz R S, Shapiro E, Hulbert W C, Diamond D A, Casale A J, Rink R C
Kaiser Permanente Medical Center, Los Angeles, California, USA.
J Urol. 1997 Sep;158(3 Pt 2):1182-5.
We report 7 cases of scrotal cystic lymphangioma and review the literature on this unusual lesion, which is often misdiagnosed as other conditions and treated incorrectly.
We retrospectively reviewed the medical records of 7 patients with scrotal cystic lymphangioma treated from 1984 to 1996 at 5 institutions.
Mean patient age at presentation was 3 years and painless scrotal swelling was the most common symptom. Physical examination demonstrated an unusual cystic scrotal mass with a normal testis and cord in most patients, and ultrasound in 4 showed a complex septated cystic mass. Preoperative misdiagnosis in all 7 patients included hernia, hydrocele, hematocele, varicocele and possible torsion. In 6 children the lesions were more extensive than expected with deep perineal and/or inguinal involvement, including 2 who also had pelvic and retroperitoneal extension. Incomplete excision led to recurrence in 4 patients.
Scrotal cystic lymphangioma presents as an unusual cystic scrotal mass. Although misdiagnosis has been common, awareness of the characteristic features of this lesion should lead to the correct preoperative diagnosis. When lymphangioma is suspected, imaging of the adjacent inguinal, perineal and pelvic regions should be performed. Complete excision is mandatory to prevent recurrence.
我们报告7例阴囊囊性淋巴管瘤病例，并回顾关于这种不常见病变的文献，该病变常被误诊为其他疾病并接受错误治疗。
我们回顾性分析了1984年至1996年期间在5家机构接受治疗的7例阴囊囊性淋巴管瘤患者的病历。
患者就诊时的平均年龄为3岁，无痛性阴囊肿胀是最常见的症状。体格检查显示，大多数患者阴囊有异常囊性肿块，睾丸和精索正常，4例患者的超声检查显示为复杂的分隔囊性肿块。所有7例患者术前均被误诊为疝气、鞘膜积液、血囊肿、精索静脉曲张和可能的扭转。6例儿童的病变比预期更广泛，累及会阴深部和/或腹股沟，其中2例还伴有盆腔和腹膜后扩展。4例患者因切除不完全导致复发。
阴囊囊性淋巴管瘤表现为阴囊异常囊性肿块。尽管误诊很常见，但了解该病变的特征应能在术前做出正确诊断。当怀疑为淋巴管瘤时，应进行邻近腹股沟、会阴和盆腔区域的影像学检查。必须进行完整切除以防止复发。
