Developmental Disorders of the Lymphatics

An information blog for disorders of the lymphatics. For all articles, please click on "Archives" - Due to spammers, I will no longer allow comments, sorry.

Monday, December 04, 2006

Scrotal Lymphangioma

Scrotal Lymphangioma

Cystic lymphangioma. Our experience


[Article in Spanish]
Arzoz Fabregas M,
Ibarz Servio LL,
Areal Calama J,
Gonzalez Satue C,
Ruiz Dominguez J,
Saladie Roig JM.

Servicio de Urologia, Hospital Universitari Germans Trias I Pujol, Badalona, Barcelona.

OBJECTIVE: To comment on the most relevant aspects and to review the literature on this unusual pathology.

MATERIAL AND METHODS: We present two cases of cystic lymphangioma, their clinical, diagnosis, therapy and development, and we review the actual literature. The first case is a young man with the diagnosis of cystic lymphangioma of the scrotum and pelvis. The second case is one patient with a cystic lymphangioma of the retroperitoneum.

DISCUSSION: Cystic lymphangioma is a congenital lymphatic hamartoma of the lymphatic system that usually appears at childhood like a big mass at soft tissues that has a tendency to grow unless a completed excision is performed.

CONCLUSIONS: There are few cases of scrotal cystic lymphangioma in the literature; they are often misdiagnosed as other common cystic scrotal conditions leading to an improper surgical approach and an incomplete surgery that predisposes later recurrence. Cystic lymphangioma of the retroperitoneum is a rare entity diagnosis in most cases as an incidentaloma.

PMID: 17058620 [PubMed - in process]

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Scrotal lymphangioma - a rare cause of acute scrotal pain in childhood

Nov 2006

[Article in German]
Hacker A,
Hatzinger M,
Grobholz R,
Alken P,
Hoang-Bohm J.

Urologische Klinik und.


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.


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CO2 laser ablation of lymphangioma circumscriptum of the scrotum.


Treharne LJ,
Murison MS.

The Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom.

Lymphangioma circumscriptum (LC) is an uncommon skin condition characterized by large muscular-coated lymphatic cisterns that lie deep with in the subcutaneous tissue and communicate with dilated dermal lymphatics. Patients suffer from edema and lymphatic leakage. Surgical excision and reconstruction is the gold standard for therapy. However, this can be mutilating. The authors present a patient who suffered widespread disease of his scrotum who had excellent symptomatic relief by treatment with the CO(2) laser.