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Benign perineal pseudotumor from repetitive microtrauma associated with saddle sports: a report and guidelines for management

Abstract:
Benign Perineal Pseudotumors (BPPs) can result from repetitive microtrauma in saddle sports. Also known as a ‘cyclist’s nodule’, ‘perineal nodular induration’ or ‘third testicle’, this fibrous soft tissue mass may be referred to a number of different medical specialists for investigation and management. Soft tissue sarcomas and other malignant or benign aggressive neoplasia, albeit rare, can affect the perineal region mimicking BPP and should be excluded. MRI, needle biopsy (ideally with radiological guidance), and referral to a specialist Sarcoma Unit is indicated to ensure the safe management of this condition. For confirmed cases of BPP, management may include conservative or operative options, considering the important anatomical structures in this area and the requirement for plastic reconstructive techniques in some instances.
Publication status:
Published
Peer review status:
Peer reviewed

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Authors

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Institution:
University of Oxford
Division:
MSD
Sub department:
Surgical Sciences
Oxford college:
Exeter College
Role:
Author
ORCID:
0000-0002-8279-7732



Publisher:
Remedy Publications
Journal:
Annals of Plastic and Reconstructive Surgery More from this journal
Volume:
4
Issue:
4
Article number:
1066
Publication date:
2020-10-20
Acceptance date:
2020-08-25
ISSN:
2689-9426


Language:
English
Keywords:
Pubs id:
1147461
Local pid:
pubs:1147461
Deposit date:
2020-12-01
ARK identifier:

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