Cystic lymphangioma of the scrotum

Abstract

A 7-year-old boy who presented with a painful left hemiscrotal mass was diagnosed with acquired lymphangioma of the scrotum. Chronic friction from a cast for Perthes' disease might have been the cause of sudden enlargement of a congenital lymphangioma of the scrotum. Magnetic resonance imaging (MRI) was useful for preoperative diagnosis and determining the extent of the scrotal lesions. Total excision of the mass leaving the overlying skin was successfully performed. The clinical significance of MRI for preoperative diagnosis and planning surgical resection of this lesion is discussed.

An unusual congenital scrotal lymphatic malformation with absent corpora cavernosa: a case report

“…Aspiration of the mass may be advantageous in the acute setting to relieve pain or to help in the diagnosis, but recurrence is common [12,13]. Intralesional injections of bleomycin and laser therapy have been used with early success [14]; however, higher recurrence rates than for surgical excision have been reported [12].…”

Scrotal Cystic Hygroma in a 13-Year-Old Boy

“…Echographic examination usually suggests the presence of this rare formation, particularly when it is manifested as cystic lymphangioma. The diagnosis can be confirmed with computerized tomography or magnetic resonance imaging [3]. In many cases the diagnosis is established histologically, three types of lymphangioma being distinguishable:…”

Lymphangioma an unusual adult scrotal lump: case report and review

“…Majority of the lesions are congenital but may also occur secondary to infection, inflammation or degeneration 50% lymphangiomas present at birth and 90% of them are developed by first 2 years of life. 3 They have no sex predilection. Out of the three forms, capillary, cavernous and cystic varieties, the cystic are the commonest.…”

“…Lymphangiomas have been classically described as lobulated, multicystic, multiseptated, or multilocular masses. 2,3,5 CT and MRI are more useful to define the important features like, the extent of the lymphangioma and its relations to adjacent soft tissue, muscle and vascular structure. 2,3 This is useful in planning the appropriate approach for the complete surgical excision to avoid the recurrence which commonly due to incomplete excision.…”

“…1 The scrotum is a very rare site for lymphangioma and only few cases have been reported in the literature. 2,3 Scrotal lymphangioma usually presents as cystic scrotal mass. They are frequently misdiagnosed on clinical examination as hydrocele, haematocele, varicocoele, inguinal hernia we report a case of lymphangioma of the scrotum in an adult who presented with huge painless scrotal swelling.…”