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. 2013:2013:807346.
doi: 10.1155/2013/807346. Epub 2013 Sep 11.

Scrotal abscess as initial presentation of squamous cell carcinoma

Kathy H Huen  1 , Paymon Nourparvar, John J Decaro, Mark D Walsh, Muta M Issa, Chad W M Ritenour
Affiliations

Scrotal abscess as initial presentation of squamous cell carcinoma

Kathy H Huen et al. Case Rep Urol. 2013.

Abstract

We report a case of scrotal squamous cell carcinoma in a 67-year-old man that presented as a recurrent nonhealing scrotal abscess. Radical scrotectomy and bilateral simple orchiectomy were performed. A pudendal thigh flap was used for wound closure. To our knowledge, this is the first report of its use after radical surgery for scrotal cancer. The clinical features, staging, and treatment of scrotal squamous cell carcinoma are reviewed. In this report, we highlight the importance of including scrotal cancer in the differential diagnosis when evaluating a scrotal abscess.

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Figures

Figure 1
Figure 1
Late presentation of scrotal lesion, initially managed as scrotal abscess.
Figure 2
Figure 2
Hematoxylin-eosin stain (1.2x and 20x (right inset)) of scrotal lesion revealing well-differentiated squamous cell carcinoma with submucosal invasion and focal keratinization.
Figure 3
Figure 3
(a) Wide local excision of lesion and isolation of spermatic cords. (b) Completion of radical scrotectomy and bilateral simple orchiectomy. (c) Pudendal thigh flap mobilized superiorly for closure. (d) Completion of reconstruction with pudendal thigh flap.
Figure 4
Figure 4
Perineal wound 5 months after radical scrotectomy, bilateral simple orchiectomy, and wound closure with pudendal thigh flap.
See this image and copyright information in PMC

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