PENİSİN İNCİ PAPÜLLERİ OLGU SUNUMU EŞLİĞİNDE DERMATOPATOLOJİK DEĞERLENDİRİLMESİ

Year 2019, Volume: 3 Issue: 3, 117 - 121, 30.12.2019

Hülya Etem

https://doi.org/10.33716/bmedj.653674

Abstract

Penisin İnci Papülleri genç erkeklerde sık görülen, seksüel geçişli
olmayan, korona penis yerleşimli benign bir lezyondur. Histopatolojik
özellikleri; çok katlı yassı epitel altında, fibrovasküler stromada artmış
dilate vasküler yapılardan ibaret olup, anjiofibromu anımsatan bir lezyondur. Peniste sık görüldüğünden, seksüel geçişli diğer
lezyonlarla sıkça karıştırılabilmektedir.

14 yaşında erkek olgu
glans penis etrafında sıralanmış sivilce benzeri, şeffaf papüller ile üroloji
polikliniğine başvurdu. Lezyon total eksize edildi. Lezyonun histopatolojik
incelenmesinde; elonge reteridgeleri olan, akantotik, viral sitopatik etkinin
olmadığı çok katlı yassı epitelle örtülü, dilate damar yapıları içeren dermal
doku izlendi. Penisin İnci Papülleri olarak yorumlandı.

 Penisin İnci Papülleri, penil lezyonlarda
klinik ve patolojik ön tanı ve ayırıcı tanıda yer alması gereken seksüel
geçişli olmayan lezyonlardır. 

Keywords

Penil papül, inci tanesi, seksüel geçişli olmayan

DERMATOPATHOLOGICAL EVALUATION OF PEARLY PENILE PAPULA WITH A CASE REPORT

Abstract

Pearly penile papules (PPP) are common in young men, benign lesions that
appear on the corona of the glans penis and are not sexually transmitted.
Histopathological features include a lesion resembling angiofibroma, which
consists of multilayered squamous epithelium and increased dilated vascular
structures in the fibrovascular stroma. Since it is commonly seen in the penis,
it can often be confused with other sexually transmitted lesions.

A case of 14-year-old male was admitted to urology outpatient clinic
with pimple–like transparent papules which were arranged in rows around the
gland penis. Total of the lesion was excised. Histopathological examination of
the lesion revealed an acanthotic dermal tissue covered by multilayered
squamous epithelium consisting dilated vascular structures, with no viral cytopathic
effect and with elongated rete ridges. The lesion was interpreted as pearly
penile papule.

Pearly penile papules are non-sexually transmitted lesions that should
be included in the prediagnosis and differential diagnosis of clinical and
pathological lesions of the penis.

Keywords

Penile papules, pearls, not sexually transmitted

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