PENİSİN İNCİ PAPÜLLERİ OLGU SUNUMU EŞLİĞİNDE DERMATOPATOLOJİK DEĞERLENDİRİLMESİ

Penisin İnci Papülleri genç erkeklerde sık görülen, seksüel geçişli olmayan, korona penis yerleşimli benign bir lezyondur. Histopatolojik özellikleri; çok katlı yassı epitel altında, fibrovasküler stromada artmış dilate vasküler yapılardan ibaret olup, anjiofibromu anımsatan bir lezyondur. Peniste sık görüldüğünden, seksüel geçişli diğer lezyonlarla sıkça karıştırılabilmektedir. 14 yaşında erkek olgu glans penis etrafında sıralanmış sivilce benzeri, şeffaf papüller ile üroloji polikliniğine başvurdu. Lezyon total eksize edildi. Lezyonun histopatolojik incelenmesinde; elonge reteridgeleri olan, akantotik, viral sitopatik etkinin olmadığı çok katlı yassı epitelle örtülü, dilate damar yapıları içeren dermal doku izlendi. Penisin İnci Papülleri olarak yorumlandı. Penisin İnci Papülleri, penil lezyonlarda klinik ve patolojik ön tanı ve ayırıcı tanıda yer alması gereken seksüel geçişli olmayan lezyonlardır.

Anahtar Kelimeler:

Penil papül, inci tanesi, seksüel geçişli olmayan

DERMATOPATHOLOGICAL EVALUATION OF PEARLY PENILE PAPULA WITH A CASE REPORT

Pearly penile papules (PPP) are common in young men, benign lesions that appear on the corona of the glans penis and are not sexually transmitted. Histopathological features include a lesion resembling angiofibroma, which consists of multilayered squamous epithelium and increased dilated vascular structures in the fibrovascular stroma. Since it is commonly seen in the penis, it can often be confused with other sexually transmitted lesions. A case of 14-year-old male was admitted to urology outpatient clinic with pimple–like transparent papules which were arranged in rows around the gland penis. Total of the lesion was excised. Histopathological examination of the lesion revealed an acanthotic dermal tissue covered by multilayered squamous epithelium consisting dilated vascular structures, with no viral cytopathic effect and with elongated rete ridges. The lesion was interpreted as pearly penile papule. Pearly penile papules are non-sexually transmitted lesions that should be included in the prediagnosis and differential diagnosis of clinical and pathological lesions of the penis.

Keywords:

Penile papules, pearls, not sexually transmitted,

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