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Korean J Androl. 2003 Apr;21(1):48-51. Korean. Case Report.
Lee SY , Moon YC , Kim DW , Oh TH , Ryu DS , Lee BY .
Department of Urology, Sungkyunkwan University School of Medicine, Masan Samsung Hospital, Masan, Korea. dsryumd@samsung.co.kr
Department of Pathology, Sungkyunkwan University School of Medicine, Masan Samsung Hospital, Masan, Korea.
Abstract

Sclerosing lymphangitis of the penis is a rare condition involving the distal lymphatics that is characterized by cord-like lesions on the shaft or coronal sulcus. Although the etiology is unknown, its association with mechanical trauma, anatomic variants, or infection has been shown. Clinically, the patient notices a painless, firm, cord-like lesion just proximal to the sulcus. Histologic study reveals hypertrophy and sclerosis of lymphatic vessel walls and, in some cases, thrombus formation within the dilated vessels. Most cases are self-limited, and conservative management is indicated, but surgical excision is warranted for persistently symptomatic lesions. We report three cases of sclerosing lymphangitis of the penis that required treatment by surgical excision.

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