Concluded Case

FILARIAL SCROTAL TUMOUR

A 65 yr gentleman presented with FST with lymph Varix with recurrent episodes of Lymphorrhea for more than 2 yrs Settles on conservative treatment Patient wants to undergo surgical treatment Diabetic on OHD FOR 10 YRS No urinary symptoms Kindly suggest plan of treatment

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Concluded answer

A case of FST WITH LYMPH VARIX (MULTIPLE) HAS BEEN ADVISED TO UNDERGO SCROTO+PENOPLASTY AFTER ADEQUATE CONTROL OF DIABETES

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It is purely a case of lymphoedema of scrotum and penis mainly due to lymphatic obstruction maily due to filariasis by dead micobacterium filariae. The skin become thickened due to enlargement of sub cutaneous tissue and when there is disbalance of production and drainage of lymph causes lymphrrhoea. Treatment. Only surgical excision of the whole scrotal skin with primary skin grafting or may done later with excision of penile skin with reconstruction of penis.

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Pt is diabetic and on long standing on OHA It is a c/o multiple sebborrhicum dermititis No surgery is successful at this stage as pt is kco FST with lymph varix Only rx is cauterization

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A case of FST WITH LYMPH VARIX (MULTIPLE) HAS BEEN ADVISED TO UNDERGO SCROTO+PENOPLASTY AFTER ADEQUATE CONTROL OF DIABETES

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