PRESENTATION

A 51-years-old man presented to his primary care physician complaining of painless dysuria and sexual dysfunction. These symptom had been present for over 6 months. On palpation, no plaques were detected on the penis. Ultrasonography using a 12-MHz linear transducer (Acuson Sequoia 512; Siemens Medical Solutions) revealed a 4 x 3 cm oval well-defined mass, heterogeneous mostly hypoechogenic on grey-scale, in the penile root. The lesion was hypervascular on Color and Power Doppler US.

Longitudunal US image show a 4 x 3 cm oval well-defined mass, heterogeneous mostly hypoechogenic.  on Color and Power Doppler US, abundant flow signals were detected within the mass.

PRESENTATION

A 51-years-old man presented to his primary care physician complaining of painless dysuria and sexual dysfunction. These symptom had been present for over 6 months. On palpation, no plaques were detected on the penis. Ultrasonography using a 12-MHz linear transducer (Acuson Sequoia 512; Siemens Medical Solutions) revealed a 4 x 3 cm oval well-defined mass, heterogeneous mostly hypoechogenic on grey-scale, in the penile root. The lesion was hypervascular on Color and Power Doppler US.

Multidetector Computer Tomography demonstrated  an oval hypodense mass in the unenhanced images and  hypervascular after contrast-enhanced.  Coronal AVERAGE image after contrast-enhanced was of help in locating and delimitating the lesions.

PRESENTATION

A 51-years-old man presented to his primary care physician complaining of painless dysuria and sexual dysfunction. These symptom had been present for over 6 months. On palpation, no plaques were detected on the penis. Ultrasonography using a 12-MHz linear transducer (Acuson Sequoia 512; Siemens Medical Solutions) revealed a 4 x 3 cm oval well-defined mass, heterogeneous mostly hypoechogenic on grey-scale, in the penile root. The lesion was hypervascular on Color and Power Doppler US.

Magnetic Resonance imaging scan demonstrating a 4.0 x 2.0 cm elongated and fusiform mass compressing the corpora cavernosa and corpus spongiosum on the right side of the penile shaft. The lesion was covered by the tunica albuginea.  The lesion was hyperintense on T2-weighted coronal image with hypointense foci and hypointense T1-weighted axial image.

PRESENTATION

A 51-years-old man presented to his primary care physician complaining of painless dysuria and sexual dysfunction. These symptom had been present for over 6 months. On palpation, no plaques were detected on the penis. Ultrasonography using a 12-MHz linear transducer (Acuson Sequoia 512; Siemens Medical Solutions) revealed a 4 x 3 cm oval well-defined mass, heterogeneous mostly hypoechogenic on grey-scale, in the penile root. The lesion was hypervascular on Color and Power Doppler US.

On contrast-enhanced, T1-weighted axial image, the mass shows strong enhancement.

PRESENTATION

A 51-years-old man presented to his primary care physician complaining of painless dysuria and sexual dysfunction. These symptom had been present for over 6 months. On palpation, no plaques were detected on the penis. Ultrasonography using a 12-MHz linear transducer (Acuson Sequoia 512; Siemens Medical Solutions) revealed a 4 x 3 cm oval well-defined mass, heterogeneous mostly hypoechogenic on grey-scale, in the penile root. The lesion was hypervascular on Color and Power Doppler US.

A. Photomicrograph (Em. Eosina stain): spindle and oval cells tumor with myxoid changes (Antony B areas). (Em. Eosina stain): presence of a thick incomplete fibrous capsule. positive immunostaining for S100 protein.