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Spontaneous Healing Of Kaposi’s Angiosarcoma Of The Penis

Casado et al., 1988Sarcoma

Journal of Urology 139(6): Jun 1988; 1313-1315

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Case Details

Personal Characteristics

A 77-year-old man

Clinical Characteristics

Asymptomatic lesions on the penis 6 months in duration. Two lesions were on the glans penis and 4 were on the inner surface of the prepuce. The 3 to 7 millimeter lesions had a papular nodular appearance and they were red-wine colored with a smooth surface and well-defined edges. There were no similar lesions on any other cutaneous mucous membranes. No lymphadenopathy was found and the liver and spleen were not palpable.

Remission Characteristics

Spontaneous and progressive regression of the lesions. At followup 3 months later (6 months from the initial visit) the lesions had completely disappeared, leaving smooth brownish scars. At 1.5 years there was no evidence of local or distant recurrences.

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Excisional biopsy of 2 lesions

Additional Notes

The patient gave no history of immunosuppression, intravenous drug addiction, hemophilia or homosexuality. Routine laboratory findings were within normal ranges. Total immunoglobulin levels, percentage of T cell subsets OKT-3, OKT-4 and OKT-8, ratio of T4-to-T8 and lymphocyte response to mitogen stimulation (phytohemagglutinin, concanavalin A and pokeweed) were normal. Chest and abdomen x-rays, gastrointestinal series, bone series and abdominal echography were normal.