Abstract
BackgroundSquamous cell carcinoma of the scrotum is rare and its development in the scar of Fournier's gangrene is still rarer.Case presentationA 65-year-old gentleman presented with a small non-healing ulcer developing on right hemi-scrotum two years after the treatment for Fournier's gangrene. On histological examination it was found to be squamous cell carcinoma. He was successfully managed by surgery in the form of wide local excision and ilio-inguinal lymph node dissection followed by adjuvant radiotherapy and chemotherapy.ConclusionsSquamous cell carcinoma can develop in the scar of Fournier's gangrene after a long delay, which differentiates it from other scar carcinomas or Marjolin's ulcer.
Highlights
Squamous cell carcinoma of the scrotum is rare and its development in the scar of Fournier's gangrene is still rarer.Case presentation: A 65-year-old gentleman presented with a small non-healing ulcer developing on right hemi-scrotum two years after the treatment for Fournier's gangrene
Squamous cell carcinoma can develop in the scar of Fournier's gangrene after a long delay, which differentiates it from other scar carcinomas or Marjolin's ulcer
Fournier's gangrene is necrotizing fascitis involving the perineum with occasional extension up the abdominal wall
Summary
Squamous cell carcinoma (SCC) developing in the scar of Fournier's gangrene is rare and has only been described once by Schneider et al [1]. A 65-year-old non diabetic and otherwise healthy retired bank clerk was treated at our tertiary centre 24 months previously for Fournier's gangrene involving the right scrotum with necrotizing fascitis extending on to the right lower anterior abdominal wall. He was managed by debridement, split thickness skin grafting of the scrotum and primary closure of skin on the lower abdominal wall. The wound healed satisfactorily after three months of treatment and the follow up was satisfactory Two years following his discharge from the hospital the patient was referred to our tertiary centre for a small nonhealing ulcer developing on the right hemiscrotum. W slFaeitegeidnurearaleltos1c2cr2aol'toeuxmccliostcihokrnopucoogshmitiaponlneotaepbdeonauintndgtotinhbetehrpeiglahmctetdeisaitnnetsrhacepahnceobnetra Wide local excision completed and the right testes can be seen at 12 'o clock position about to be placed in the contra lateral scrotum through an opening in the median raphe
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
