%0 Journal Article
%T Epithelioid hemangioma of the penis: case report and review of literature
%A Mohamed Ismail
%A Stephen Damato
%A Alex Freeman
%A Raj Nigam
%J Journal of Medical Case Reports
%D 2011
%I BioMed Central
%R 10.1186/1752-1947-5-260
%X We present a case of epithelioid hemangioma of the penis in a 50-year-old Caucasian man. We also review the literature to evaluate the incidence of benign vascular anomalies of the penis and their management.Epithelioid hemangioma of the penis should be considered in the differential diagnosis of patients presenting with painful penile lumps. A thorough histological and immunohistochemical examination is required to make the diagnosis. Optimal management is complete local excision and periodic physical examination for local recurrence.The differential diagnoses of painful lumps on the penis include Peyronie's disease and penile phlebothrombosis. Epithelioid hemangioma is a rare vascular tumor that is characterized by capillary vessels lined by epithelioid endothelial cells and accompanied by an inflammatory cell infiltrate [1-4]. It should be considered in the differential diagnosis of patients presenting with painful penile lumps. The condition can be easily misdiagnosed as Peyronie's disease or penile cancer. However, the salient feature of penile cancer is painless ulcerative or cauliflower lesions. Making the clinical and radiological distinction is important. We therefore report on this condition and review the literature.A 50-year-old Caucasian man presented to our facility with a painful nodule on the dorsum of his penis, which had developed over the last six months. It became more painful over time and interfered with his sexual activity. Our patient reported no erectile dysfunction or penile deviation. His medical history was unremarkable. A physical examination revealed a 5 mm tender, firm nodule at the mid shaft of the penis dorsally. There was no inguinal lymphadenopathy. A penile ultrasound scan demonstrated a well circumscribed lesion (6 กม 8 mm) over the dorsal aspect of the penis within the subcutaneous tissue, superficial to the corpus cavernosum (Figure 1). There was inherent blood flow within the lesion. With suspicion of a penile vascular tumor, w
%U http://www.jmedicalcasereports.com/content/5/1/260