Penile Lymphangioma Circumscriptum-A Rare Case Report

Abstract

Lymphangioma circumscriptum is a rare disorder of lymphatic channels characterised by multiple grouped thin translucent vesicles. The lesions are often seen around the neck, upper trunk, proximal extremities and tongue. Genital involvement in females has been reported but penis is a rare site. On the other side congenital variety is extremely rare. Here we are presenting a rare case of congenital penile lymphangioma circumscriptum.

Penile Lymphangioma: review of the literature with a case presentation

“…The outcome of this procedure was favorable with the only noteworthy complication of growth of transposed hair, treated cosmetically. Of the remaining 4 lymphangioma circumscriptum cases shown in Table 1, treatment was denied for 1, and the remaining 3 had no information on treatment or outcome [12–14, 29].…”

“…Denuded penis buried in tunnel guided through scrotum, 6 months after - shaft lift and recreated with scrotal skinNo negative consequences, local hairiness treated cosmeticallyOsborne et al [14]Circumscriptum45 years oldLichen planus - treated with cryotherapyCluster of translucent vesicles on shaft of penis and coronal sulcus. Balanomegaly.Treatment declined–Tsur et al [28]Circumscriptum8 month oldCongenital [inferred]asymptomatic elevated lesions on glans penis around meatus and dorsal aspect of penisSurgical excisionSuccessful with no sign of recurrenceDrago et al [12]Circumscriptum27 years oldUlceritive colitis––Handa et al [29]Circumscriptum10 years old with 9 year historyCongenital [inferred]Penis, scrotum, groins bilaterally––Swanson et al [13]Circumscriptum16 years oldRecurrent cellulitis of the penis and scrotumSubcutaneous tissue of penis proximal to glans and skin of left proximal scrotum––Greiner et al [15]Circumscriptum cysticum13 years oldCongenital malformationEdematous thickening of penile and scrotal skin––A summary of penile lymphangioma cases reported in the literature…”

Macrocystic Adult Penile Lymphangioma: A Rare Presentation

“…There are only few reported cases of penile lymphangioma in the literature. The congenital variant become more apparent over time as reported by Handa et al [1], whereas the acquired variant could occur as a result of lymphatic vessel occlusion due to infections such as frequent cellulitis [2]. These lymphatic malformations are further classified as microcystic (lymphangioma circumscriptum), cavernous lymphangiomas, macrocystic (cystic hygromas), and the acquired lymphangiomas (lymphangiecatsis) [3].…”