Abstract
A 58-year old man presented with a large penoscrotal mass. Physical examination demonstrated a massive, cauliflower-like, firm tumor appearing to arise from the left hemiscrotum significantly deviating his penis to the right as well as bilateral palpable inguinal lymph nodes (Fig. 1A). Computed tomography showed a 16 cm x 8 cm mass arising from the left hemiscrotum involving the base of the penis, and bilateral inguinal and pelvic lymphadenopathy but otherwise without distant metastatic disease (Fig.
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