Scrotal cystic lymphangioma : a case report

Lymphangioma is a benign tumor of the lymphatic system classified as simple, cavernous, or cystic depending on the size of the dilated lymphatic spaces within the tumor. Most cases present as a soft, cystic, slowly enlarging swelling in the neck and axilla in children, while the scrotum is a rare site. We report the case of a 39-year-old man who presented with a painless left hemiscrotal mass. On examination, the testes and spermatic cords were normal bilaterally. There was a firm, polycystic mass in the inferior portion of the left hemiscrotum. Scrotal ultrasound revealed normal testes, with a large complex cystic loculated mass. Histology demonstrated a cystic lymphangioma. The mass was completely excised. The patient remained well without recurrence with a follow-up of 6 months.