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PENİSİN İNCİ PAPÜLLERİ OLGU SUNUMU EŞLİĞİNDE DERMATOPATOLOJİK DEĞERLENDİRİLMESİ

Yıl 2019, Cilt: 3 Sayı: 3, 117 - 121, 30.12.2019
https://doi.org/10.33716/bmedj.653674

Öz

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. 

Kaynakça

  • 1-Adam S.A, Tara K.B, Keyvan N. Diagnosis and Management of Pearly Penil Papules American Journal of Men’sHealth. 2018;12(3):624-627.
  • 2-Oates J.K. Pearly Penil Papules.Genitourinary Medicine 1997;73:137-138.
  • 3-Agrawal SK, Bhattacharya SN, Singh N. Pearly penile papules. A review. İnt.J. Dermatol.2004;43(3):199-201.
  • 4-Agha K., Alderson S., Samraj S., Cottam A., Merry C., Lee V., Patel R. Pearly penile papules regress in older patients and with circumsion. İnternational Journal of STD&AIDS,2009; 20;768-770.
  • 5-Badri T., Ramsey M.L. Stat Pearls.2017-ncbinlm.nih.gov. StatPearls Publishing; 2019
  • 6-Ozeki M., Saito R., Tanaka M.. Dermascopic features of pearly penile papules. Dermatology, 2008;217:21-22.
  • 7-Leung AK, Barankin B,Pearly penile papules.J.Pediatr 2014;165(2):409.
  • 8-Edwards L, Lynch PJ: Genital Dermatology Atlas. Second edition. Lippincott Williams & Wilkins, 2010;211.
  • 9-Ferenczy A., Richard RM, Wright TC. Pearly penile papules: Absence of human papilloma virus DNA by the polymerase chain reaction.Obstet Gynecol. 1991, 78.1: 118-122.
  • 10- Hogewoning CJ et al.Pearly penile papules:still no reason for uneasiness. J Am Acad Dermatol, 2003;49(1):50-4

DERMATOPATHOLOGICAL EVALUATION OF PEARLY PENILE PAPULA WITH A CASE REPORT

Yıl 2019, Cilt: 3 Sayı: 3, 117 - 121, 30.12.2019
https://doi.org/10.33716/bmedj.653674

Öz

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.

Kaynakça

  • 1-Adam S.A, Tara K.B, Keyvan N. Diagnosis and Management of Pearly Penil Papules American Journal of Men’sHealth. 2018;12(3):624-627.
  • 2-Oates J.K. Pearly Penil Papules.Genitourinary Medicine 1997;73:137-138.
  • 3-Agrawal SK, Bhattacharya SN, Singh N. Pearly penile papules. A review. İnt.J. Dermatol.2004;43(3):199-201.
  • 4-Agha K., Alderson S., Samraj S., Cottam A., Merry C., Lee V., Patel R. Pearly penile papules regress in older patients and with circumsion. İnternational Journal of STD&AIDS,2009; 20;768-770.
  • 5-Badri T., Ramsey M.L. Stat Pearls.2017-ncbinlm.nih.gov. StatPearls Publishing; 2019
  • 6-Ozeki M., Saito R., Tanaka M.. Dermascopic features of pearly penile papules. Dermatology, 2008;217:21-22.
  • 7-Leung AK, Barankin B,Pearly penile papules.J.Pediatr 2014;165(2):409.
  • 8-Edwards L, Lynch PJ: Genital Dermatology Atlas. Second edition. Lippincott Williams & Wilkins, 2010;211.
  • 9-Ferenczy A., Richard RM, Wright TC. Pearly penile papules: Absence of human papilloma virus DNA by the polymerase chain reaction.Obstet Gynecol. 1991, 78.1: 118-122.
  • 10- Hogewoning CJ et al.Pearly penile papules:still no reason for uneasiness. J Am Acad Dermatol, 2003;49(1):50-4
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm OLGU SUNUMU
Yazarlar

Hülya Etem 0000-0002-0469-2716

Yayımlanma Tarihi 30 Aralık 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 3 Sayı: 3

Kaynak Göster

APA Etem, H. (2019). PENİSİN İNCİ PAPÜLLERİ OLGU SUNUMU EŞLİĞİNDE DERMATOPATOLOJİK DEĞERLENDİRİLMESİ. Balıkesir Medical Journal, 3(3), 117-121. https://doi.org/10.33716/bmedj.653674