NADİR GÖRÜLEN SKROTAL LEZYON: SKROTAL HEMANJİOM OLGU SUNUMU

Yıl 2018, Cilt: 20 Sayı: 2, 205 - 208, 31.08.2018

Mustafa Koray Kırdağ , Fatih Bal Devrim Tuğlu

https://doi.org/10.24938/kutfd.338545

Öz

Hemanjiomlar
en sık görülen benign vasküler lezyonlardır. Kadınlarda erkeklere göre 3 kat
daha fazla görülmektedir. Bu vasküler lezyonlar genellikle asemptomatik
seyrederler ve rastlantısal olarak tespit edilirler. Hemanjiomlar farklı
biyolojik davranışlar gösterirler. Hemanjiomların farklı tedavi yöntemleri
mevcuttur. Yüzeyel hemanjiomlar, spontan regresyon olasılığından dolayı
genellikle takip edilirler. Diğer hemanjiom türlerinde ise cerrahi ve cerrahi
dışı tedavi yöntemleri (IFN-a, steroidler, sklerozan ajanlar, lazer)
uygulanabilir. Skrotal hemanjiom ise skrotumun nadir görülen vasküler benign
tümörüdür. Preoperatif değerlendirmede doppler ultrasonografi, bilgisayarlı
tomografi ve manyetik rezonans gibi görüntüleme yöntemleri kullanılabilir. Bu
yazıda, skrotal kitle nedeniyle operasyon yapılan 25 yaşında erkek hastada
skrotal hemanjiom olgusu sunuldu.

Anahtar Kelimeler

Skrotal kitle, skrotal hemanjiom, nadir vasküler lezyon

A Rare Scrotal Lesion: Scrotal Hemangioma

Öz

Hemangiomas
are the most frequently seen benign vascular lesions. They are encountered
three times more common in females. These lesions are generally asymptomatic
and are usually detected incidentally. Hemangiomas show different biological
behaviors and there exist different treatment methods. Superficial hemangiomas
are generally observed due to the possibility of spontaneous regression. Yet,
other types of hemangiomas involve surgical and non-surgical (IFN-a, steroids,
sclerosing agents, laser) treatment methods. Scrotal hemangioma, however, is a
rarely seen benign vascular tumor of the scrotum. The preoperative evaluation
may include imaging modalities such as doppler ultrasonography, computerized
tomography and magnetic resonance imaging. This article presents the case of a
scrotal hemangioma in a twenty-five years old patient who underwent surgery for
a scrotal mass.

Anahtar Kelimeler

Scrotal mass, scrotal hemangioma, rare vascular lesion

Kaynakça

• 1. Finn MC,Glowacki J,Mulliken JB. Congenital Vascular Lesions:clinical application of a new classification J Pediatr Surg. 1983;18:894-9.
• 2. Aydemir EH, Tüzün Y, Kotopyon A. Vasküler lezyonlar. Dermatoloji 1994, İstanbul: Nobel Kitabevi, 2.baskı. 1994:623-7.
• 3. Gampper TJ, Morgan RF. Vascular Anomalies: Hemangiomas Plast Reconstr Surg. 2002;110:572-85.
• 4. Banton KL, D'Cunha J, Laudi N, Flynn C, Hammerschmidt D, Humar A, et al. Postoperative severe microangiopathic hemolytic anemia associated with agiant hepatic cavernous hemangioma. J Gastrointest Surg. 2005;9:679-85.
• 5. Pietrabissa A, Giulianotti P, Campatelli A, et al. Managementand follow-up of 78 giant haemangiomas of the liver. Br J Surg. 1996;83:915-8.
• 6. Ergul O, Ceylan BG, Armagan A, Kapucuoglu N, Ceyhan AM, Perk H. A giant scrotal cavernous hemangioma extending to the penis and perineum: a case report. KaoJor Medical Science. 2008;139:177-86.
• 7. Şen Z, Özakpınar HR, Gökrem S, Özdemir OM, Ersoy A, Serel S ve ark. Kutanöz vasküler lezyonlarda klinik yaklaşımlarımız Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2002;55(3):193-204.
• 8. Ferrer FA, McKenna PH. Cavernous hemangioma of the scrotum: a rare benign genital tumor of childhood. J Urol. 1995;153(4):1262-4.
• 9. Patoulias I, Farmakis K, Kaselas C, Patoulias D. Ulcerated Scrotal Hemangioma in an 18-Month-Old Male Patient: A Case Report and Review of the Literature. Hindawi Publishing Corporation Case Reports in Urology Volume. 2016;2016:9236719.
• 10. Gotoh M, Tsai S, Sugiyama T, Miyake K, Mitsuya H. Giant scrotal hemangioma with azospermia. Urology. 1983;22(6):637-9.
• 11. Djouhri H, Arrive L, Bouras T, Martin B, Monnier-Cholley L, Tubiana, JM. Diffuse cavernous hemangioma of the rectosigmoid colon: imaging findings. J Comput Assist Tomography. 1998;22(6):851-5.
• 12. Hervias D, Turrion JP, Herrera M, Navajas LJ, Pajares VR, Mancenido N, et al. Diffuse cavernous hemangioma of the rectum: an atypical cause of rectal bleeding. Rev Esp Enferm Dig. 2004;96(5):346-52.
• 13. Yeoman LJ, Shaw D. Computerized tomography appearances of pelvic hemangioma involving the large bowel in childhood. Pediatr Radiol. 1989;19(6):414-6.
• 14. Tonini G, Intagliata S, Cagli B, Segreto F, Perrone G, Onetti MA, et al. Recurrent Scrotal Hemangiomas During Treatment With Sunitinib Journal Of Clinical Oncology. 2010;28(35):737-8.
• 15. Vavallo A, Lafranceschina F, Lucarelli G, Bettocchi C, Ditonno P, Battaglia M, et al. Capillary hemangioma of the scrotum mimicking an epididymal tumor: case report. Arch Ital Urol Androl. 2014;86(4):395-6.