Alaminos-Mingorance M, Sánchez-López-Tello C, Castejón-Casado J, Valladares-Mendías J C, Martínez-Meca S
Division of Pediatric Surgery, Children's Medical Center, Virgen de las Nieves University Hospital, Granada, Spain.
Urol Int. 1998;61(3):181-2. doi: 10.1159/000030319.
The intrascrotal localization of lymphangioma in children is uncommon, especially when the lymphangioma does not depend on testicular structures. We present the case of a 13-year-old male who started with a right intrascrotal mass unconnected with the testicle, clinically and ultrasonically compatible with cystic lymphangioma. The mass was excised because of progressive growth over the previous 5 months, and at surgery a scrotal lymphangioma was disclosed projecting towards the umbilical area through the subcutaneous cell tissue of the anterior abdominal wall. There have been no complications or recurrences to date, 6 months afterwards. Surgical removal is the only efficacious therapeutic approach and is the best way to achieve a definitive diagnosis in these patients.
小儿阴囊内淋巴管瘤并不常见,尤其是当淋巴管瘤不依附于睾丸结构时。我们报告一例13岁男性患者,其最初表现为右侧阴囊内一与睾丸无关的肿物,临床及超声检查结果均符合囊性淋巴管瘤。由于该肿物在过去5个月中逐渐增大,遂将其切除,手术中发现一个阴囊淋巴管瘤通过前腹壁皮下组织向脐部区域突出。6个月后的目前,尚无并发症或复发情况。手术切除是唯一有效的治疗方法,也是对这些患者进行明确诊断的最佳方式。