[Intrascrotal lymphangioma: report of 2 cases and review of the literature].

Actas Urol Esp

Servicio de Urología, Clínica Puerta de Hierro, Madrid.

Published: January 1998

Congenital lymphatic disease with scrotal location is particularly uncommon in adults and, in general, requires an exhausting differential diagnosis of testicular and paratesticular masses; among them, the lymphangioma is exceptional. Diagnosis is based on signs and symptoms, evolution and radiological studies such as ultrasound and computerised tomography as well as characteristic findings in the anatomopathologic study such as cystic dilation with endothelial walls and lymph content with no signs of malignancy. Treatment is usually surgical. Two cases of intrascrotal lymphangioma, one at Buck's fascia level in the corpus cavernosum and the other one at the subdermal tissue in the scrotal wall are contributed. An analysis is made of the usefulness of the different imaging diagnostic methods, and complete surgical resection of the lesion is proposed as the choice therapy.

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