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.
Highlights
Squamous cell carcinoma (SCC) of the scrotum is a rare neoplasm, with an incidence rate of 0.95/1 million [1]
We describe the first reported use of a pudendal thigh flap for perineal wound closure after radical surgery for treatment of scrotal cancer
The delayed diagnosis of scrotal SCC in our patient serves as a grave reminder of unusual presentations of SCC and emphasizes the importance of including malignancy in the differential diagnosis when evaluating a scrotal abscess
Summary
Squamous cell carcinoma (SCC) of the scrotum is a rare neoplasm, with an incidence rate of 0.95/1 million [1]. In 1775, Pott reported greater scrotal cancer rates in chimney sweepers, the first description of an occupationally related cancer. It has subsequently been associated with exposure to tar, arsenic, paraffin, shale oil, petroleum wax, sun exposure, and human papillomavirus [2]. SCC of the scrotum is most frequently diagnosed in the sixth and seventh decades. It typically presents as a solitary, painless, and slow-growing nodule. We describe the first reported use of a pudendal thigh flap for perineal wound closure after radical surgery for treatment of scrotal cancer
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