Biker’s Nodule A Perineal Nodular Induration of the Cyclist英文文献资料.docVIP

Advances in Sexual Medicine, 2012, 2, 1-2 1 /10.4236/asm.2012.21001 Published Online January 2012 (http://www.SciRP.org/journal/asm) Biker’s Nodule: A Perineal Nodular Induration of the Cyclist Alakeel Abdullah, Halabi-Tawil Maya, Besseige Henri, Crickx Béatrice, Descamps Vincent Department of Dermatology, Bichat Claude Bernard Hospital, Assistance Publique-H?pitaux de Paris, Paris, France Email: vincent.descamps@bch.aphp.fr Received October 29, 2011; revised November 30, 2011; accepted December 11, 2011 ABSTRACT A case of “biker’s nodule” in an 80 year-old cyclist is reported. The “biker’s nodule” is caused by repeated microtrauma to the subcutaneous fatty tissue or collageneous tissue on the perineal region resulting in a perineal nodular induration. Keywords: Perineal Nodular Induration; Biker’s Nodule; Hygroma 1. Introduction duration of the cyclist or “biker’s nodule” was made after concertation with the urologists. The patient rejected the surgical excision. An 80 year-old patient consulted at our clinic for a large perineal mass that had been growing very slowly over time. The patient had no particular medical history, and there was no family history of a similar anomaly. Of note, he had been cycling for years. Physical examination re- vealed a soft, non-painful mass inferior to the scrotum (Figures 1 and 2). It had the size of an orange, and was covered by normal skin. There was no lymphadenopathy. The first evoqued diagnosis was a perineal lipoma. A scrotal ultrasonography was done and revealed a small varicocele and a bilateral vaginal hydrocele. It showed no abnormality regarding the two testicles, as well as no lymphadenopathies. The diagnosis of perineal nodular in- 2. Discussion Perineal nodular induration of the cyclist, also called “ischiatic hygroma”, “accessory testicles”, “third testicle” Figure 1. Non-painful mass inferior to the scrotum with normal skin. Figure 2. Perineal nodular i