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Hemangioma of the Prepuce

机译:包皮血管瘤

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Hemangiomas (angiomas) are benign tumors of blood and lymphatic vessels commonly found in infants and children. They are usually superficial in nature, localized, and commonly involve the head or neck, although up to one-third may be seen in the liver. Total or partial regression of these lesions occurs in the majority of cases before puberty. Rarely has hemangiomas of the foreskin been described. Case Report A 59-year-old white man presented with a 2-year history of progressively worsening post-void dribbling. No associated symptoms of hematuria, fever or dysuria were noted. On physical examination, the patient was uncircumcised with very tight phimosis of his foreskin. No genital skin lesions were noted. Multiple attempts to retract the foreskin were unsuccessful and he subsequently underwent an elective circumcision with no complications.On gross examination, the received specimen consisted of two fragments of unremarkable foreskin with no grossly identifiable lesions. On microscopic examination, the dermis showed numerous vascular spaces of various sizes with focal perivascular chronic inflammation. The overlying epidermis was unremarkable (Figures 1 & 2).
机译:血管瘤(血管瘤)是常见于婴儿和儿童的血液和淋巴管良性肿瘤。它们通常是表面的,局部的,通常累及头部或颈部,尽管在肝脏中最多可以看到三分之一。这些病变全部或部分消退发生在青春期之前的大多数病例中。很少有包皮血管瘤的描述。病例报告一名59岁的白人患者,有2年的病后排尿逐渐加重病史。未发现血尿,发烧或排尿困难的相关症状。体检时,患者未进行包皮环切术,包皮非常紧密。没有发现生殖器皮肤病变。多次撤回包皮的尝试均未成功,随后他进行了选择性包皮环切术,无任何并发症。在大体检查中,收到的标本由两部分明显的包皮碎片组成,没有明显的病变。在显微镜下检查,真皮显示出许多大小不等的血管间隙,伴有局灶性血管周围慢性炎症。上面的表皮无明显变化(图1和2)。

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