Prominent swelling on erection: Perineal angiomyxoma as a rare entity

Perineal angiomyxoma is a rare entity, more commonly seen in females. We report a case of a 44 year old male who presented with a perineal swelling which became prominent with penile erections. Magnetic Resonance Imaging (MRI) revealed a T1 hypointense and T2 hyperintense midline lesion (4.6 × 2.5 ×...

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Detalles Bibliográficos
Autores principales: Tyagi, Shantanu, Mavuduru, Ravimohan Suryanarayan, Bora, Girdhar S., Devana, Sudheer Kumar, Sharma, Aditya Prakash
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
Materias:
Urological Images
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334575/
https://www.ncbi.nlm.nih.gov/pubmed/30692730
http://dx.doi.org/10.4103/iju.IJU_221_18
Descripción
Sumario:Perineal angiomyxoma is a rare entity, more commonly seen in females. We report a case of a 44 year old male who presented with a perineal swelling which became prominent with penile erections. Magnetic Resonance Imaging (MRI) revealed a T1 hypointense and T2 hyperintense midline lesion (4.6 × 2.5 × 5 cm) in relation to corpus spongiosum, with ill defined fat planes with the bulbospongiosus muscle and progressive enhancement on dynamic contrast sequence. A differential diagnosis of soft tissue sarcoma or hemangioma was made and the mass was completely excised via a midline perineal incision. The histopathology revealed features consistent with angiomyxoma.

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