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Year : 2014  |  Volume : 1  |  Issue : 1  |  Page : 48-50

Clinical, radiologic, and pathologic analysis of penile epithelioid hemangioendothelioma: A diagnostic and management dilemma

1 The Center for Reconstructive Urology and Men's Health, Division of Urology, Utah 84132, USA
2 Surgical Pathology, Department of Pathology, University of Utah, Utah 84132, USA

Correspondence Address:
Darshan P Patel
Department of Surgery, Division of Urology, University of Utah Health Care 30 N 1900 E, RM 2B208B, Salt Lake City, UT 84132
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2225-1243.137555

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Epithelioid hemangioendotheliomas (EHE) are rare soft tissue tumors and only 17 cases involving the penis have been reported in the literature. These tumors are often incorrectly diagnosed as Peyronie's disease or superficial penile thrombosis. We present the case of a 59-year-old male referred to our institution with EHE after being incorrectly diagnosed with Peyronie's disease. A color Doppler ultrasound of the penis showed a highly vascular mass superficial to the tunica albuginea and a subsequent biopsy demonstrated EHE with low-grade features. Complete local excision was performed and given the patient's low-risk pathological features, he has been followed with only close surveillance. Early recognition of epithelioid vascular tumors is important and using adequate imaging modalities is critical to avoid prolonged periods of misdiagnosis.

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