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2019, Number 04

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MediSan 2019; 23 (04)

Giant scrotal lymphedema in a patient with partial falectomy

Palermo LR, Rojas SE, Morales FR
Full text How to cite this article

Language: Spanish
References: 10
Page: 748-757
PDF size: 946.88 Kb.


Key words:

lymphedema, scrotum, excision of the lymph node, scrotectomy.

ABSTRACT

The case report of a patient is described who, 7 years after carrying out a partial falectomy with inguinal superficial lymphadenectomy and chemotherapy (cisplatin 150) due to an squamous cell carcinoma of the penis, he went to the Urology Service of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba presenting a giant scrotal lymphedema, of lymphatic obstructive origin, with marked repercussion on the biped position and during walking. The surgical procedure (Homans technique with modifications) was carried out and the patient had a satisfactory clinical course. Then after 2 years of surgery, he was discharged from the out-patient service, because it was considered that he had recovered the physical motor skills and his self-esteem.


REFERENCES

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  2. Felmerer G, Tobbia D, Zvonik M. A new classification of genital lymphoedema and its surgical treatment. Proceedings of the 23rd International Congress of Lymphology; 19-23 Sep 2011; Malmö, Sweden. Sweden: International Society of Lymphology; 2012.

  3. Pereira N, Koshima I. Linfedema: actualización en el diagnóstico y tratamiento quirúrgico. Rev Chil Cir. 2018 [citado 14/01/2019];70(6). Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0718-40262018000600589

  4. Schook C, Kulungowski AM, Greene AK, Fishman SJ. Male genital lymphedema: clinical features and management in 25 pediatric patients. J Pediatr Surg. 2014; 49(11):1647-51.

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  7. Domènech A, Serrano A, Forner-Cordero I, Gómez F, Maldonado D, Domínguez C. Patología urológica de origen linfático. Cir Pediatr. 2016 [citado 14/01/2019];29(1). Disponible en: https://www.secipe.org/coldata/upload/revista/2016_29-1_35-40.pdf

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