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  Table of Contents  
SKINDIA QUIZ
Year : 2017  |  Volume : 8  |  Issue : 1  |  Page : 68-69  

SkIndia Quiz 32: A strange sessile formation appearing as a penis-like structure


1 Department of Dermatology, University of Naples Federico II, Naples, Italy
2 Department of Advanced Biomedical Sciences, Diagnostic Imaging Section, University of Naples Federico II, Naples, Italy
3 Department of Advanced Biomedical Sciences, Pathology Section, University of Naples Federico II, Naples, Italy

Date of Web Publication20-Jan-2017

Correspondence Address:
Dr. Matteo Megna
Department of Dermatology, University of Naples Federico II, Via Pansini 5 Naples - 80131
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.193927

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How to cite this article:
Megna M, Balato N, Napolitano M, Costa C, Gisonni P, Mascolo M, Balato A. SkIndia Quiz 32: A strange sessile formation appearing as a penis-like structure. Indian Dermatol Online J 2017;8:68-9

How to cite this URL:
Megna M, Balato N, Napolitano M, Costa C, Gisonni P, Mascolo M, Balato A. SkIndia Quiz 32: A strange sessile formation appearing as a penis-like structure. Indian Dermatol Online J [serial online] 2017 [cited 2019 Jun 16];8:68-9. Available from: http://www.idoj.in/text.asp?2017/8/1/68/193927

A man in his fifties presented with a history of unknown duration of an asymptomatic formation localized just beneath the scrotum. The patient was in good health and was not taking any medications. Physical examination revealed a brown to skin-colored sessile mass measuring about 4.9 × 0.8 cm in size [Figure 1]. The lesion was soft to touch, inelastic, and nontender, with a penis-like structure. No similar lesions were seen on other areas of the body. An ultrasonographic examination was performed [Figure 2]. The mass was excised and histopathological features are reported in [Figure 3].
Figure 1: A brown to skin-colored sessile mass hanging down from the skin region just under the scrotum

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Figure 2: High-resolution ultrasound and color-Doppler imaging obtained with 17 MHz probe showed a heterogeneously hypoechoic lesion measuring approximately 49 mm × 28 mm × 8 mm. The lesion presented with hyperechoic branches in its context and did not appear hypervascular on color-Doppler evaluation

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Figure 3: Histopathological examination with H and E, ×100. A polypoid lesion with a connective tissue stalk composed of vascularized, loosely arranged collagen, and some fat cells, covered by hyperplastic squamous epithelium

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   References Top

1.
Mackie RM, Quinn AG. Non melanoma skin cancer and other epidermal skin tumours. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. 7th ed. Rook's Textbook of Dermatology. Oxford: Blackwell Science; 2004. p. 1-50.  Back to cited text no. 1
    
2.
Ghosh SK, Bandyopadhyay D, Chatterjee G, Bar C. Giant skin tags on unusual locations. J Eur Acad Dermatol Venereol 2009;23:233.  Back to cited text no. 2
    
3.
Canalizo-Almeida S, Mercadillo-Pérez P, Tirado-Sánchez A. Giant skin tags: Report of two cases. Dermatol Online J 2007;13:30.  Back to cited text no. 3
    
4.
Chatterjee S, Mondal PC, Pandey SB, Achar A. Presence of accessory penis, colonic duplication and several other congenital anomalies in a child: A very rare association. Trop Doct 2014;44:238-40.  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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