A 43-year-old male with History of elephantiasis, DM, Hypertension. Any thoughts on the type of tumor? Advice for Surgical treatment and regimen? Thank you.

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Elephantiasis / Neurofibromatosis Needs further investigation and evaluation to conclude and surgical intervention like plastic surgery can be beneficial.

Thanks Dr Sandeep S
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Neurofibramatosis 1 Pachydermatocele

Thank you, Doctor
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NEUROFIBROMATOSIS/ELEPHANTIASIS PLASTIC SURGERY MAYBE BENEFICIAL

Thanks Dr. Ashok Leel
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It may be due to w.bancrofti or may be due to lymphoedema for further exclusion and treatment accordingly surgical procedure

As it is a c/o elephentiasis Swelling in question is either hydrocele rt scrotum penis is burried in lt scrotum Or it is lymphoedema

Thanx dr Sandeep S
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DDs : *Massive Localised Lymphadema. *Elephantiasis Nostras Verrucosa. *Vascular Malformations/ tumors : Angiomatous/ Lymphangiomatosis or Angiosarcoma/Lymphsngiosarcoma. Advised Bx & IHC.

Severe lymphoedema giving a pseudotumor appearance.plastic surgery may be helpful.

Classical ELEPHANTIASIS

Neurofibromatosis.

This I'd definitely a case of elephantiasis without the involvement of penis. Penis is almos burrowed in the scrotum. Causes A. It is due to lymphoedema may be due lymphatic obstruction or apkasis or hypoplasia of lymphatic vessels or due to filariasis due to woocheria broncrofti. B may be due oedema od the scrotal skin due to over load of fluid in case of congestive heart failure. Treatment A if due to congestive heart failure, freatment in the line congestive heat failure will help. B. If due to lymphoedema or filariasis total excision of skin with subcutaneous tissue keeping viable testes, scrotum may be reconstructed by pelvic skin flap Or. By implanting the testes into newly mede sac in the medial side of thighs or lower abdomen.

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