Korean J Androl.  2011 Aug;29(2):177-180. 10.5534/kja.2011.29.2.177.

Cystic Lymphangioma of the Scrotum and Perineum

• Song PH
• Kim JM
• Yang SJ
• Choi JW
• Kim MJ
• Kim HT
• Moon KH

• KMID: 2226473
• DOI: http://doi.org/10.5534/kja.2011.29.2.177

Abstract

Cystic lymphangiomas are a benign tumor caused by lymphatic malformation. They are normally seen in the head and neck region and very rarely occur in the scrotum. We report a rare case of a 20-year-old man who presented with a gradually enlarging, painful scrotal mass which was identified ultrasonographically and histologically as a scrotal cystic lymphangioma and treated by surgical excision.

Keyword

Lymphangioma; Cystic; Scrotum

MeSH Terms

Head
Humans
Lymphangioma
Lymphangioma, Cystic
Neck
Perineum
Scrotum
Young Adult

Figure

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  Fig. 1. Preoperative state, the grape shaped painful swelling is observed at scrotum and perineaum.

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  Fig. 2. Ultrasonography shows ill-defined multiloculated cystic lesion with various echogenecity in scrotum.

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  Fig. 3. T1-wighted (A) and T2-weighed (B) transverse MRI image of scrotum shows numerous, variable sized cysts with intermediate signal intensity. Left test (white arrow) is displaced by cysts (Rt: right testis, Lt: left testis).

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  Fig. 4. Histologic findings of tumor. (A) Tumor is composed of cystically dilated spaces (H&E ×40). (B) Tumor is lined by flattened cells (H&E ×100). (C) These cells are positive for immunohistochemical stain of D2-40 (IHC stain for D2-40 ×100).

Reference

1). Mosca RC, Pereira GA, Mantesso A. Cystic hygroma: characterization by computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 105:e65–9.

2). Park JS, Ahn BC, Kim YS, Joo HJ, Kim SJ. Retroperitoneal cystic lymphangioma simultaneously diagnosed with bladder cancer. Korean J Urol. 2002; 43:535–7.

3). Singla SL, Rattan KN, Singh S. Cystic hygroma of the gluteal region. Indian J Pediatr. 2000; 67:779–80.

4). Weiss SW, Goldblum JR. Tumors of lymph vessels. Weiss SW, Goldblum JR, editors. Enzinger and Weiss's soft tissue tumors. 4th ed.St. Louis: Mosby;2001. p. 956–67.

5). Grossgold ET, Kusuda L. Scrotal lymphangioma in an adult. Urology. 2007; 70:590e. 1–2.

6). Hurwitz RS, Shapiro E, Hulbert WC, Diamond DA, Casale AJ, Rink RC. Scrotal cystic lymphangioma: the misdiagnosed scrotal mass. J Urol. 1997; 158:1182–5.

7). Vikicevic J, Milobratovic D, Vukadinovic V, Golubovic Z, Krstic Z. Lymphangioma scroti. Pediatr Dermatol. 2007; 24:654–6.

8). Weidman ER, Cendron M, Schned AR, Harris RD. Scrotal lymphangioma: an uncommon cause for a scrotal mass. J Ultrasound Med. 2002; 21:669–72.

9). Demir Y, Latifoğlu O, Yenidünya S, Atabay K. Extensive lymphatic malformation of penis and scrotum. Urology. 2001; 58:106.