Scrotal Lymphangioma Research Articles

Misdiagnosis of scrotal and retroperitoneal lymphangioma in children

BackgroundScrotal and retroperitoneal lymphangioma (SRL) in children is relatively rare and its clinical symptoms are usually difficult to distinguish from other conditions such as hydrocele and incarcerated inguinal oblique hernia. This study aimed to explore the clinical diagnosis and treatment of abdominal scrotal lymphangioma in children, and thus, to increase our understandings of this disease in clinical practice.MethodThis study enrolled nine boys, aged 1–10, who were admitted to Shanghai Children’s Hospital from January 2019 to December 2020 and who were finally confirmed with lymphangioma in the inguinal area. The clinical manifestations, diagnosis, and treatment of these children were analyzed retrospectively. The length of diagnostic process ranged from 3 weeks to 20 months. We also reviewed other cases of initially misdiagnosed cases of SRL in English publications from 2000 to 2022.ResultsThe nine cases were misdiagnosed as hydrocele, hematoma, or inguinal hernia. Three patients received intracystic injection of bleomycin, three underwent laparoscopic mass resection, and three underwent resection of the inguinal lymphangioma under direct vision. Postoperative pathological analysis of the surgical specimens confirmed the diagnosis of benign cystic lesions and lymphangioma. Meanwhile, among the 14 cases of SRL in literature review, eight were misdiagnosed. Six were initially diagnosed as hydrocele, one as inguinal oblique hernia, and one as testicular tumor, all of which underwent ultrasonography scans. All cases were confirmed as lymphangioma after pathological examination.ConclusionThe non-specific clinical manifestations may contribute to the misdiagnosis of scrotal masses in children. A detailed and accurate medical history, careful physical examination, and imaging findings are important factors contributing to the preoperative differential diagnosis of scrotal lumps in children, but the final diagnosis is based on pathological examination.

Rare case cystic scrotal lymphangioma presented as a hydrocele.

Introduction and importanceCystic scrotal lymphangiomas are very uncommon lesions caused by congenital lymphatic malformation. These tumors are usually located in the neck and axilla, occasionally in the mediastinum, retroperitoneum, and thigh. The scrotum and perineum are the least frequented sites. They present as painless scrotal swelling and are easily misdiagnosed as hydrocele. We present here a case of cystic scrotal lymphangioma in a school-aged child who presented to us with a massive scrotal swelling.Case presentationWe present here a case of a 6-year-old child who presented with scrotal swelling, which was sonographically identified as chronic hydrocele. The right testis could be felt separately from the mass, and the left scrotum was normal. Scrotal ultrasound reveals multiple cystic lesions with septa in the right hemiscrotum extending to the proximal inguinal canal. Median raphe incision and excision of the lobulated mass Cyst testicular lymphangioma was confirmed histopathologically.Clinical discussionCystic lymphangiomas are benign congenital tumors with no identifiable cause. The majority of lymphangiomas (90%) appear during the first two years of life, and half of them are present at birth. Lymphangiomas are categorized into three types: capillary, cavernous lymphangiomas, and cystic hygromas. A scrotal lymphangioma is frequently misdiagnosed as a hydrocele, inguinal hernia, hematocele, varicocele, or even testis torsion. In our case, the diagnosis was made by ultrasonography with Doppler and confirmed by a biopsy of an excised mass lesion. The scrotum is a very uncommon site for cystic lymphangioma.ConclusionA cystic or septate cystic mass discovered intra-operatively should not be dismissed as a complex hydrocele, since cystic lymphangiomas predictably recur if incompletely resected. A proper diagnosis of the scrotal lymphangioma and its extent using the US is essential for planning an appropriate surgical approach.

Photodynamic therapy for scrotal lymphangioma: a case report

A 23-year-old male patient developed vesicles on the scrotum 5 years prior to this presentation. Then, vesicles gradually affected the whole scrotum, whick easily ruptured due to friction. Physical examination showed diffuse millet-sized vesicles on the scrotum with milky white fluids, and exudates with chyle-like appearance. Histopathological examination revealed proliferating and dilated lymphatic vessels with different sizes of lumens in the dermis. Immunohistochemical study showed positive staining for D2-40 and CD31. The patient was diagnosed with scrotal lymphangioma, and received photodynamic therapy with aminolevulinic acid. After the treatment, the number of vesicles markedly decreased, and no obvious exudates were observed. During 1 year of follow up, no scars or other complications occurred, and no obvious relapse was found. Key words: Lymphangioma; Scrotum; Photochemotherapy; Aminolevulinic acid

Perineal and scrotal lymphangioma in a 3-year-old male patient: An unusual case report

Lymphangioma is a rare cause of swelling in the perineal and scrotal regions. This case report describes the clinical, ultrasonographic, and histopathological findings of a 3-year-old pediatric patient with a diagnosis of perineal and scrotal lymphangioma.

Inguinoscrotal lymphangioma mimicking hydrocele: a case report

Scrotal lymphangiomas are hamartomata’s lymphatic malformations with no risk of malignant transformation, resulting due to inadequate drainage of lymph from sequestered lymph or lack of continuation between lymphatics and venous channels. Here we report a case of scrotal lymphangioma in a 1.5 years old child who presented with scrotal swelling and misdiagnosed as hydrocele. Child was managed successfully with surgical resection of the mass and doing well now.

Lymphangioma an unusual adult scrotal lump: case report and review

Cystic lymphangiomas are congenital lymphatic malformations that most commonly develop in the neck, axilla, mediastinum and retroperitoneum. They occur usually in children but occasionally in adults. The scrotum is a very rare site for this tumor and only few cases have been reported in the literature. We report the case of a scrotal lymphangioma in a 24-year-old male patient who developed painless scrotal swelling. Typical sonography and MRI findings are shown. Surgical excision and histopathology confirmed the diagnosis.

Sonographic findings in a case of scrotal lymphangioma

The scrotum is an extremely rare site for lymphangioma. We report the case of a scrotal lymphangioma in a 20-year-old male patient who developed painless scrotal swelling. Typical sonography and MRI findings are shown. Surgical excision and histopathology confirmed the diagnosis.

Scrotal lymphangiomatosis: a case report

Lymphangiomas are benign tumours of the lymphatic system, andthere are several reported cases of scrotal lymphangioma in theliterature to date. We report a rare case of multilocular cutaneouslymphangiomatosis treated with surgical excision (total scrotectomyand reconstruction using split-thickness skin grafts withvacuum-assisted closure dressing).

Scrotal lymphangiomatosis: a case report.

Lymphangiomas are benign tumours of the lymphatic system, and there are several reported cases of scrotal lymphangioma in the literature to date. We report a rare case of multilocular cutaneous lymphangiomatosis treated with surgical excision (total scrotectomy and reconstruction using split-thickness skin grafts with vacuum-assisted closure dressing).

Lymphangioma circumscriptum in the scrotum: a case report

IntroductionLymphangioma circumscriptum is a rare benign skin disorder involving hamartomatous lymphatic malformation of deep dermal and subcutaneous lymphatic channels. It is a therapeutic challenge for the dermatologist when it occurs at common sites such as axilla, shoulder, groin and buttocks and a diagnostic challenge for the surgeon when it occurs at rare sites such as the scrotum. Surgical treatment is the most commonly used method to treat scrotal lymphangioma circumscriptum but there are high rates of recurrence.Case presentationWe report the case of a 30-year-old Pakistani man who presented with scrotal swelling which was clinically misinterpreted as an infectious disorder. Later on re-resection of deeper tissue was performed to prevent recurrence. He is still being followed-up on a regular basis.ConclusionAwareness of the occurrence of lymphangioma circumscriptum in the scrotum in adult men without prior disease is mandatory to avoid missing the diagnosis and to ensure proper treatment.

Acquired Scrotal Lymphangioma Successfully Treated Using Carbon Dioxide Laser Ablation

Acquired Scrotal Lymphangioma Successfully Treated Using Carbon Dioxide Laser Ablation

A rare case of lymphangioma of the scrotum in a 3 year old boy: a case report

Cystic hygromas, also known as lymphangiomas, are unusual congenital malformations of the lymphatic system. They are normally seen in the head and neck region and very rarely occur in the scrotum. This anomaly manifests as a painless scrotal swelling and is easily misdiagnosed. We report a rare case of a 3-year-old boy who presented with a gradually enlarging, painless scrotal mass which was identified sonographically and histologically as a scrotal lymphangioma and treated by surgical excision. A brief review of the literature is included.

Sonographic findings in a case of scrotal lymphangioma in a 68‐year‐old male

Lymphangiomas are benign tumors resulting from a congenital lymphatic malformation in infant and children. Most common sites are head, neck and axilla, and scrotal lymphangioma is very rare. Lymphangiomas are classified as capillary, cavernous, and cystic type and cystic type is most common. Complete surgical excision is definitive treatment and incomplete excision leads to local recurrence. We report a case of scrotal lymphangioma in 68-year-old male patient. Gray-scale sonography revealed multiseptated, hypoechoic mass abutting the upper pole of the normal right testis. Color Doppler sonography showed no remarkable blood flow in the mass. MRI demonstrated multispetated extratesticular and extraepididymal mass in the right scrotum. Surgical excision was performed and the histopathologic diagnosis was a cystic lymphangioma. In conclusion when multiseptated cystic scrotal mass was discovered in an elderly patient, scrotal lymphangioma should be included in differential diagnosis.

Lymphangioma Scroti

Lymphangiomas are congenital malformations of the lymphatic system. We report a 10-year-old boy with lymphatic malformation of the scrotum, which presented as a multiloculated scrotal mass associated with edema of the left thigh and left cryptorchidism. Histopathologic examination showed scrotal lymphangioma cavernosum. Ultrasonography was of major importance for the preoperative diagnosis and to determine the extent of the scrotal lesion. Scrotal lymphangiomas are very rare. It is important to consider them in boys with a cystic scrotal mass in order to avoid misdiagnosis, improper treatment and recurrences.

Scrotal Lymphangioma in an Adult

We present a case of scrotal lymphangioma in a 25-year-old man. The patient presented with scrotal swelling and an ultrasound scan demonstrating a complex extratesticular cystic mass around the left spermatic cord. He underwent excision of the mass, followed by orchiectomy for recurrence. This case was interesting for several reasons. First, scrotal lymphangioma, although very rare, is usually seen in infants and children. Second, for a symptomatic extratesticular cystic mass, surgery might be warranted. Finally, although primary excision is the treatment of choice in the younger individual, the same might not be true for the rare adult with this disease.

Das skrotale Lymphangiom - eine seltene Ursache des akuten Skrotums im Kindesalter

Scrotal lymphangioma is a rare differential diagnosis in boys with acute scrotal pain. A 5-year-old boy presented with acute scrotal pain and swelling. Physical examination demonstrated an unusual cystic scrotal mass with a normal testis. Ultrasound and MRI showed a complex septated cystic mass. The tumor was excised completely via an inguinal and scrotal approach. 2-year follow-up examinations with physical examination and ultrasound have shown no evidence of recurrence. Scrotal lymphangiomas are commonly misdiagnosed preoperatively. When ymphangioma is suspected, ultrasound and MRI imaging of the adjacent inguinal, perineal and pelvic region should be performed. To prevent recurrence, complete surgical excision is mandatory.

Scrotal lymphangioma in an adult

Scrotal lymphangioma in an adult

Lymphangioma of the scrotum in a pediatric patient: Ultrasound and magnetic-resonance findings

Lymphangiomas are unusual benign neoplasms originating from the lymphatic system that are rarely found in the scrotal area. Ultrasound and magnetic resonance findings in a 4-year-old boy with a scrotal lymphangioma are presented. There was no recurrence after surgical excision.