Surgical Excision of Multiple Penile Syringomas With Scrotal Flap Reconstruction

Elbert E. Vaca, MD; Gerhard S. Mundinger, MD; Jonathan A. Zelken, MD; Gulsun Erdag, MD; Michele A. Manahan, MD


ePlasty. 2014;14 

In This Article


A 29-year-old man presented with a 5-year history of multiple asymptomatic lesions of the penis. The patient had no significant medical history and sexually transmitted infections were ruled out. Physical examination demonstrated multiple clustered skin-colored papules along the dorsum and sides of the penis, extending from the base to approximately two thirds the length of the penile shaft (Fig 1). Punch biopsy demonstrated multiple syringomas (Fig 2). The patient was significantly bothered by the appearance of these lesions and was offered surgical excision and reconstruction.

Figure 1.

Multiple syringomas on the penile shaft.

Figure 2.

Biopsy specimen demonstrating typical syringoma features. (Left) Basal hyperpigmentation in the epidermis (Hematoxylin-eosin stain; original magnification × 4). (Right) Characteristic dermal coma-shaped structures lined by 2 rows of epithelial cells surrounded by collagen bundles, with colloidal material within the lumina (Hematoxylin-eosin stain; original magnification × 40).