title: Epithelioid haemangioma: a rare cause of painful erections and sleep deprivation.
abstract: Epithelioid haemangioma of the penis is a rare condition which usually presents a solid single nodule. We report a case in a 43-year-old man who presented with painful erections and sleep disturbance with two palpable penile nodules. Magnetic resonance imaging with an artificially induced erection revealed these as individual lesions, and local excision was successfully undertaken. Pathological diagnosis of epithelioid haemangioma was confirmed with positive staining for CD31. Although rare, penile epithelioid haemangioma should be considered as a differential in an atypical penile mass. Induction in of an artificial erection prior to MRI can aid diagnosis and treatment is typically with surgical excision.
authors.affiliation: Department of Urology, Wirral University Teaching Hospital NHS Foundation Trust, Merseyside, UK.
authors.forename: M A
authors.initials: MA
authors.lastname: Lucky
authors.forename: L A
authors.initials: LA
authors.lastname: McGuinness
authors.forename: M S
authors.initials: MS
authors.lastname: Floyd
authors.forename: U
authors.initials: U
authors.lastname: Azhar
authors.forename: J H
authors.initials: JH
authors.lastname: Shanks
authors.forename: C
authors.initials: C
authors.lastname: Li
authors.forename: P
authors.initials: P
authors.lastname: Shenjere
authors.forename: D
authors.initials: D
authors.lastname: Nonaka
authors.forename: L Q
authors.initials: LQ
authors.lastname: Robinson
authors.forename: N J
authors.initials: NJ
authors.lastname: Parr
mesh_terms: D000328:Adult; D006391:Hemangioma / Q000150:complications*; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology*; D010410:Penile Erection; D010412:Penile Neoplasms / Q000150:complications*; D012892:Sleep Deprivation / Q000209:etiology*