陰莖滑液肉瘤個案報告
陳昭安1、李錦輝2、黃國財1、邱國雄1、楊紫馨1、張殷綸1、林健煇1、黃雲慶1、何東儒1、陳志碩1、林威宇1
嘉義長庚醫院外科部泌尿外科1，解剖病理科2
Synovial sarcoma of the penis : A Case Report
Chao-An Chen1, Kam-Fai Lee2 , Kuo-Cai Huang1 , Kuo-Hsiung Chiu11, Tzu-Hsin Yang1,Yin-Lun Chang1,Jian-Hui Lin11, Yung-Chin Huang2, Dong-Ru Ho11, Chih-Shou Chen1, Wei-Yu Lin1
1Division of Urology, Department of Surgery, 2Department of Anatomic Pathology, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan
Background
Primary synovial sarcoma of the penis is extremely rare. We report a case of synovial sarcoma initially discovered as a painless penile mass with no image evidence of distal metastasis. Synovial sarcoma was reported in the final pathology.
Case report:
A 59-year-old male patient is a case of panic disorder under alprazolam treatment for 4 years. He came to our outpatient department for gradual enlargement of penile mass in recent months. He is a married man without circumcision. The mass was painless, spherical, and movable over penile base, without skin abnormality or infection signs. Computed tomography revealed a 3.2 cm hypodense mass lesion over left side of corpus cavernosum without enlargement of pelvis or retroperitoneal lymph nodes. Partial penectomy with bilateral inguinal lymph node dissection was performed. Synovial sarcoma within tunica abluginea (pT2) was reported in the final pathology.
Conclusion:
To our knowledge; this is the first case of primary synovial sarcoma of penis in Taiwan.