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Concealed cysts presenting as 'Club' penis: a case report
T P Rajeev1, Shalini Krishnan2, Arun Menon3
1Department of Urology, K.S. Hegde Charitable Hospital, Nitte (Deemed to be University), Karnataka, 575018, India. rajeevtp@yahoo.com.
Journal of Medical Case Reports
|May 1, 2019
Summary
Rare penile epidermoid cysts, typically solitary, can present as multiple lesions causing phimosis and a "club penis." This case highlights unusual presentation of these benign penile swellings.
Area of Science:
- Urology
- Dermatology
- Pathology
Background:
- Penile swellings are uncommon and usually present as visible lesions.
- Benign swellings can be concealed by phimosis, leading to a "club" penis appearance.
Observation:
- A 30-year-old male presented with phimosis and a distally club-shaped penis.
- Palpable lumps near the glans were concealed by the foreskin, preventing accurate preoperative diagnosis.
- Circumcision revealed two distinct cystic swellings originating from the inner prepuce.
Findings:
- Histopathology confirmed the swellings as epidermoid cysts.
- Multiple epidermoid cysts arising from the inner prepuce, presenting as a club penis, are exceptionally rare.
- Epidermoid cysts are common skin lesions but infrequently occur on the penis.
Implications:
- Benign penile lumps should be considered in the differential diagnosis of phimosis.
- This case expands the known clinical presentations of epidermoid cysts.
- Highlights the importance of thorough examination in cases of concealed penile lesions.