Schwannoma is a very rare tumor and mostly benign in nature. it may be associated with neurofibromatosis 2 (NF2). This variant involves the head and neck most commonly, and rarely involves the penis. The patient was 32 years old and presented to us with a 2 cm × 2 cm lesion at the right lateral aspect of the penis just proximal to the glans from the past 2 years. He was evaluated with ultrasound and MRI and mistaken for hemangioma. In view of hemangioma, one session of intalesional 3% sodium tetradecylsulphate was infiltrated. There was no decrease in size on follow-up. Excision of the lesion was planned, and histopathology and immunohistochemistry were suggestive of plexiform schwannoma. The postoperative period was uneventful with normal voiding and erection on follow-up. Plexiform schwannoma is rare in the genital region. This is highly vascular so can be mistaken for hemangioma. Excision is the method of treatment and along with histopathological evaluation is the main stay of diagnosis. The patient should be followed for recurrence.
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Verma et al. (2024) studied this question.
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