AIM:to discuss the rationale of the management of penile MALT lymphoma. CASE REPORT:A 24-year-old patient presented with a painless and mobile nodule localized in the ventral part of the penis. The lesion was firstly evaluated through Doppler ultrasonography, which showed a hypoechoic and vascularized solid mass, a subsequent magnetic resonance confirmed size and position of the lesion. Subsequently the patient underwent a surgical excision of the mass, the pathological diagnosis was consistent with penile lymphoma, MALT-type. The patient underwent a consolidative immunotherapy with rituximab. Disease re-staging was performed through a MR without any detection of local or systemic recurrences. CONCLUSION:To our knowledge, no cases of MALT lymphoma involving the penis have been reported in the literature so far. Surgical excision with organ sparing and immunotherapy with rituximab, successfully induced a complete response. Based upon this experience, we may recommend a conservative surgery associated with a systemic approach.

An isolated penile mass in a young adult turned out to be a primary marginal zone lymphoma of the penis. A case report and a review of literature.

GENTILE, GIORGIO;BROCCOLI, ALESSANDRO;BRUNOCILLA, EUGENIO;SCHIAVINA, RICCARDO;BORGHESI, MARCO;ROMAGNOLI, DANIELE;BIANCHI, LORENZO;DERENZINI, ENRICO;AGOSTINELLI, CLAUDIO;FRANCESCHELLI, ALESSANDRO;COLOMBO, FULVIO;ZINZANI, PIER LUIGI
2013

Abstract

AIM:to discuss the rationale of the management of penile MALT lymphoma. CASE REPORT:A 24-year-old patient presented with a painless and mobile nodule localized in the ventral part of the penis. The lesion was firstly evaluated through Doppler ultrasonography, which showed a hypoechoic and vascularized solid mass, a subsequent magnetic resonance confirmed size and position of the lesion. Subsequently the patient underwent a surgical excision of the mass, the pathological diagnosis was consistent with penile lymphoma, MALT-type. The patient underwent a consolidative immunotherapy with rituximab. Disease re-staging was performed through a MR without any detection of local or systemic recurrences. CONCLUSION:To our knowledge, no cases of MALT lymphoma involving the penis have been reported in the literature so far. Surgical excision with organ sparing and immunotherapy with rituximab, successfully induced a complete response. Based upon this experience, we may recommend a conservative surgery associated with a systemic approach.
Gentile G;Broccoli A;Brunocilla E;Schiavina R;Borghesi M;Romagnoli D;Bianchi L;Derenzini E;Agostinelli C;Franceschelli A;Colombo F;Zinzani PL
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/191407
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