Kaposi of the penis: about a case
Sqalli Houssaini Asmaa1,&, Badreddine Hassam1
1Dermatology and Venerology Department, University Hospital Center
Ibn Sina, Faculty of Médecine and Pharmacy, Mohammed V University, Rabat,
Sqalli Houssaini Asmaa, Dermatology and Venerology Department, University Hospital
Center Ibn Sina, Faculty of Médecine and Pharmacy, Mohammed V University,
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Kaposi sarcoma (KS) is a multicentric angioproliferative disorder
of endothelial origin. It predominantly affects mucocutaneous sites
but may also affect visceral organs. We are reporting a case of
KS with unusual
presentation. A 45-year-old male presented violaceous macules on
the glans which appeared 3 weeks ago. Otherwise he reported fever
and loss weight.
Histological examination detected the presence of spindle cells
and the positivity for Kaposi-associated Herpes virus-8 confirmed
the lesions as
Kaposi's sarcoma. Visceral sarcoma lesions were also present in
the oesophagus and gastric fundus. HIV viral serology was positive.
Treatment with antiretroviral
therapy and bleomycine was initiated. Sarcomas of the penis are
very uncommon, representing less than 5% of malignant tumors in
this area. KS is the most
common sarcoma of the penis and the second most common is leiomyosarcoma.
Primary presentation of KS on the penis is not common but more
often observed in patients with AIDs, whose lesions are the aggressive
form, and only approximately
2-3% cases have shown penile KS lesions as first manifestation
of disease as our patient. This case is important as it illustrates
KS was not to be predicted by the number or the external lesions.
Figure 1: a violaceous macules on the glans