Abstract
Median raphe cyst is an uncommon developmental anomaly of male genitalia. Only a few hundred cases have been published in the English literature and the lack of awareness of this entity can lead to confusion and misdiagnosis. Raphe cysts are generally solitary and translucent, and can develop at any location over the midline of the external genitalia from the parameatal region to the perineum. The cysts can occur at parameatus, glans penis, penile shaft, scrotum or perineum. The penile shaft is the more common location whereas perineum is least common site. We report here a case of median raphe cyst located in the midline over perineal region of 6 month old infant. Early recognition of this condition may avoid the confusion in diagnosis at later age, when patient present with complications.
References
- Golitz LE, Robin M. Median raphe canals of the penis. Cutis 1981; 27: 170-172.
- Scelwyn, “Median raphe cyst of the perineum presenting as a perianal polyp, ”Pathology,vol.28,no.2,pp.201–202,1996.
- Dini, M., Baroni, G., and Colafranceschi, M. (2001) Median raphe cyst of the penis: a report of two cases with immunohistochemical investigation. Am. J. Dermatopathol. 23(4), 320–324.
- Shao IH, Chen TD, Shao HT, Chen HW. Male median raphe cysts: serial retrospective analysis and histopathological classification. Diagn Pathol 2012;7:121
- Syed MMA, Amatya B, Sitaula S. Median raphe cyst of the penis: a case report and review of the literature. J Med Case Rep 2019;13:214.
- Amaranthan A, Sinhasan SP, Dasiah SD. Median raphe cysts of the prepucial skin, with triple histological linings: a case report and review of the literature. J ClinDiagn Res 2013;7:1466-8.
- Sasagawa, I., Nakada, T., Yamaguchi, O., and Shiraiwa, Y. (1992) Different types of median raphe cysts in the penis. Int. Urol. Nephrol. 24(2), 187–191.
- Romani, J., Barnadas, M.A., Miralles, J., Curell, R., and de Moragas, J.M. (1995) Median raphe cyst of the penis with ciliated cells. J. Cutan. Pathol. 22(4), 378–381.
Corresponding Author
Ravinder Singh
Medical Officer, Dermatology DR RKGMC Hamirpur H.P India