Abstract
Squamous cell carcinoma of scrotum is not common. It was the first cancer directly associated with a specific occupation i.e. chimney sweeps. We report a case of squamous cell carcinoma of scrotum developed in a patient of stricture urethra with multiple perineal urinary fistulas treated with lay open urethra with buccal mucosal graft. Tobacco exposed buccal mucosa graft can act as a carcinogen for scrotal cancer in patients with multiple fistula and poor hygiene.
Highlights
We report a case of squamous cell carcinoma of scrotum developed in a patient of stricture urethra with multiple perineal urinary fistulas treated with lay open urethra with buccal mucosal graft
We report a case of squamous cell carcinoma of scrotum developed in a patient of stricture urethra with multiple perineal urinary fistulas treated with lay open urethra with onlay buccal mucosal graft
Buccal mucosa graft was placed beside the whole length of laid open urethra and its margin was sutured to urethral margin
Summary
Histology of tissue scraping from fistulous tract showed chronic inflammation. He was treated in our institution with excision of fistulous tracts, perineal urethrostomy with lay open of anterior urethra and buccal mucosal grafting. Patient lost to follow up and presented after six months with growth on the right side of scrotum. It was a fungating ulcero-proliferative growth of 10 cm × 7 cm, arising from the lateral margin of the buccal mucosa graft involving skin of the right hemiscrotum, fixed to the underlying structures, and extending up to the base of penis and left hemiscrotum (Figure 1).
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