Fibroepithelial polyp of glans penis

Turğut, Mehmet; Yenilmez, A.; Can, Cavit; Bildirici, Kısmet; Erkul, Aydın; Özyürek, Yusuf

doi:10.1016/j.urology.2004.09.071

Cited by 17 publications

(13 citation statements)

References 4 publications

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“…The muscles act as a lymph pump; 140 thus, muscle paralysis would be expected to produce lymph stasis and predispose to lymphedema. In support of this supposition is the presence of quadriplegia in case 19 and a case of vulvar lymphedema, 95 and paraplegia in most of the patients with penile lymphedematous fibroepithelial polyps 16,17 . Condom catheter use was reported in the later cases.…”

Section: Discussionmentioning

confidence: 89%

“…Histopathologically, lymphedema is a fibroinflammatory process 7,8 . Typically, elephantiasis diffusely involves the body part affected by lymphedema (legs more than arms and genitalia episodically); 8 exceptionally, lymphedema involves circumscribed region of skin producing a solitary, large polyp, 9–29 indurated (solid) plaque, 30–68 papillomatous plaque, 69–80 pendulous swelling 81–90 or large, sarcoma‐like mass 91–115 . Herein, we report the clinicopathologic findings of a consecutive series of 24 cases of localized lymphedema (elephantiasis) and review the literature on this phenomenon.…”

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confidence: 99%

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Localized lymphedema (elephantiasis): a case series and review of the literature

Tran

Jones

et al. 2008

J Cutan Pathol

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Background: Lymphedema typically affects a whole limb. Rarely, lymphedema can present as a circumscribed plaque or an isolated skin tumor. Objective: To describe the clinical and pathologic characteristics and etiologic factors of localized lymphedema. Methods: Case–control study of skin biopsy and excision specimens histologically diagnosed with lymphedema and presenting as a localized skin tumor identified during a 4‐year period. Results: We identified 24 cases of localized lymphedema presenting as solitary large polyps (11), solid or papillomatous plaques (7), pendulous swellings (4), or tumors mimicking sarcoma (2). Patients were 18 females and 6 males with a mean age of 41 years (range 16–74). Anogenital involvement was most frequent (75%) – mostly vulva (58%), followed by eyelid (13%), thigh (8%) and breast (4%). Causative factors included injury due to trauma, surgery or childbirth (54%), chronic inflammatory disease (rosacea, Crohn’s disease) (8%), and bacterial cellulitis (12%). Eighty‐five percent of these patients were either overweight (50%) or obese (35%). Compared with a series of 80 patients with diffuse lymphedema, localized lymphedema patients were significantly younger (41 vs. 62 years old, p = 0.0001), had no history of cancer treatment (0% vs. 18%, p = 0.03), and had an injury to the affected site (54% vs. 6%, p = 0.0001). Histologically, all cases exhibited dermal edema, fibroplasia, dilated lymphatic vessels, uniformly distributed stromal cells and varying degrees of papillated epidermal hyperplasia, inflammatory infiltrates and hyperkeratosis. Tumor size significantly and positively correlated with history of cellulitis, obesity, dense inflammatory infiltrates containing abundant plasma cells, and lymphoid follicles (p < 0.05). A history of cellulitis, morbid obesity, lymphoid follicles and follicular cysts predicted recurrent or progressive swelling despite excision (p < 0.05). Conclusions: Localized lymphedema should be considered in the etiology of skin tumors when assessing a polyp, plaque, swelling or mass showing dermal edema, fibrosis and dilated lymphatics on biopsy. A combination of lymph stasis promoting factors (trauma, obesity, infection and/or inflammatory disorders) produces localized elephantiasis.

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Section: Discussionmentioning

confidence: 89%

mentioning

confidence: 99%

Localized lymphedema (elephantiasis): a case series and review of the literature

Tran

Jones

et al. 2008

J Cutan Pathol

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“…It has been proposed that these lesions are secondary to the negative pressure of the condom catheter and the irritation and inflammation associated with its long-term use (1,3). In fact, generalized penile edema, irritation and maceration are well-known complications of condom catheter use.…”

Section: Discussionmentioning

confidence: 99%

Lymphedematous fibroepithelial polyps of the penis associated with long‐term condom catheter use: case report and review of the literature

2009

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“…1 Fibroepithelial polyps of the penis have only recently been described and, to our knowledge, only 1 series (7 cases) and 4 case reports have been reported. 2 Most patients have a long-term history of condom catheter use.…”

Section: Introductionmentioning

confidence: 98%

Fibroepothelial polyp of the glans penis due to pad use for urinary incontinence

Kumsar

Sağlam

Dilek

et al. 2013

CUAJ

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A 78-year-old man was admitted to our urology polyclinic with painless penile mass. The lesion was 3.5 cm in size on the ventral aspect of the penis. He had been using a pad for urinary incontinance for 10 months and said that the lesion had been increasing in size for past 3 months. He underwent a wide local excision under local anesthesia. The histopathologic diagnosis was fibroepithelial polyp. A fibroepithelial polyp of the penis is very rare and strongly linked to long-term condom catheter use. We present a case of fibroepithelial polyp of the glans which is not associated with condom catheter use.

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Fibroepithelial polyp of glans penis

Cited by 17 publications

References 4 publications

Localized lymphedema (elephantiasis): a case series and review of the literature

Localized lymphedema (elephantiasis): a case series and review of the literature

Lymphedematous fibroepithelial polyps of the penis associated with long‐term condom catheter use: case report and review of the literature

Fibroepothelial polyp of the glans penis due to pad use for urinary incontinence

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