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Classical Lissencephaly
Joseph Junewick, MD FACR
over 5 years ago
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Scrotal Hemangioma

Case Detail

Anatomy: Genitourinary
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Vascular
Created: over 6 years ago
Updated: over 6 years ago
Tags: PEDS
Modality/Study Types: US
Activities:
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History

7 month old male with scrotal mass.


Case Images


Diagnosis

Scrotal Hemangioma

Findings

US – Fusiform hypoechoic thickening of the scrotal skin which is markedly hyperemic on Doppler imaging.

Discussion

Scrotal hemangiomas are extremely rare, comprising less than 1% of all hemangiomas. They usually manifest in infants, and occasionally in later childhood or adolescence. Most patients are asymptomatic, although on rare occasions a patient will present with dull, aching pain, heaviness, bleeding, and ulceration. These symptoms may lead to misdiagnosis of the lesion as a varicocele or inguinal hernia. Microscopic analysis reveals numerous vascular spaces that vary in size and are lined with benign epithelial cells. A lobular pattern of vessels may also be seen. The lesions may be characterized as capillary, cavernous, or arteriovenous.

Reference

Akbar SA, Sayyed TA, Jafri SZH, Hasteh F, Neill JSA. Multimodality Imaging of Paratesticular Neoplasms and Their Rare Mimics. RadioGraphics (2003); 23:1461-1476.



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