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.



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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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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Elephantasis Neurofibromas Lymph oedema Surgery will be helpful Ref to vascular surgeon

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

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.


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

Elephantiasis Neurofibromatosis Vascular malformation Lphangiiosarcoma Lymphedema Refer to vascular surgeon

scrotal elephantiasis of inflammatory etiology. Scrotal elephantiasis is a rare condition outside regions endemic for Chlamydia trachomatis or Wuchereria bancrofti.. Scrotal elephantiasis, or massive scrotal lymphedema, is a disease that is caused by obstruction, aplasia, or hypoplasia of the lymphatic vessels draining the scrotum. ... The most common infections leading to scrotal elephantiasis are lymphogranuloma venereum or filarial infestation with Wuchereria bancrofti. Elephantiasis refers to a parasitic infection that causes extreme swelling in the arms and legs. The disease is caused by the filarial worm, which is transmitted form human to human via the female mosquito when it takes a blood meal. The parasite grows into an adult worm that lives in the lymphatic system of humans.

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