Dear Sir,
Schwannomas usually occur along the peripheral nerves but are very rare at the penis [1,2]. A 35-year-old man presented to our clinic seeking evaluation for a painless swelling on his penis. He had first noticed the mass 5 years before presentation; it gradually increased in size and recently interfered with sexual activity. Examination revealed a cordlike mass on the left lateral side which caused penis curvature (fig. 1). Ultrasonographic examination detected a 6.0 × 5.0 × 2.0 cm hypoechoic mass with irregular margins. A pelvic CT scan showed that the tissue was located beside the left corpus spongiosum with soft tissue density (fig. 2). The postoperative pathological diagnosis was benign plexiform schwannoma.
Fig. 1
The cordlike mass extended from the coronary sulcus to the root and caused a significant penile curvature.

Fig. 2
The CT scan (45 HU) showed that the tissue space beside the corpus spongiosum was cloudy and thick.

Bing Li
Department of Urology, Union Hospital, Tongji Medical College
Huazhong University of Science and Technology
Wuhan 430022 (China)
E-Mail bingliuro@gmail.com
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