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The patient was a 71-year-old male whose chief complaint was a scrotum mass. The mass had gradually increased in size without any associated symptoms. The physical examination revealed a pedunculated, radish brown, and elastic soft tumor (4. 5×3. 5×3. 0 cm) in the right scrotum. Blood chemical analysis of HbA1c and squamous carcinoma antigen were 8. 3% and 38. 4 ng/ml (≦1. 5), respectively. This tumor was successfully treated with surgical resection. Histopathological examination showed condyloma acuminatum without malignant findings. Giant condyloma acuminatum commonly affects the genital and perianal areas. An immunocompromised state generally exists in the background of the patients.

Background and objective: A scrotal wall mass is relatively rare in clinical practice, and very difficult to differentiate from a scrotal content lesion by a physical or ultrasound examination. In this study, we share our experience with the scrotoscope for diagnosing and treating scrotal wall masses. Methods: We retrospectively reviewed all clinical data of scrotal wall mass patients treated by our medical team between June 2015 and July 2019. Diagnostic value was evaluated by comparison with a Doppler ultrasound examination and therapeutic value was evaluated by comparison with traditional surgery. Suspected scrotal tuberculosis or malignant scrotal tumor patients were excluded. Results: Six patients with scrotal wall masses were diagnosed and treated with the scrotoscope. A preoperative ultrasound examination led to an ambiguous or incorrect diagnosis for the origin of the scrotal wall masses in all six cases. The location of all of the masses was confirmed by exploring with the scrotoscope. Three patients were diagnosed with scrotal wall cysts, and one was successfully resected during the procedure; the other two were resected through a small incision. Four scrotal wall solid masses were resected in the other three patients through small incisions after the diagnosis using the scrotoscope. No wound infection, scrotal edema, hematoma, chronic scrotal pain, or injury to the testicles or epididymis were observed. Conclusions: Scrotal wall masses are relatively rare, and it was very difficult to obtain a firm diagnosis of their origin using preoperative ultrasound. The scrotoscope confirmed localization of the tumor, and provided us important information for a minimally invasive resection. Endoscopic resection of a mass can be performed using a scrotoscope.

Testicular abscess is a rare disease, compared with other inflammatory diseases in the scrotum such as orchitis and epididymitis.1,2 It leads to severe inflammation of the scrotum and the whole body and is characterized by sustained fever and strong scrotal pain. We report an interesting case of scrotal abscess suspected as intrascrotal liposarcoma on image examination because of poor inflammatory findings.

A 12-month-old boy presented with left scrotal swelling. The mass was irregular, soft, fleshy, and nontender. It adhered to the scrotal skin and gradually enlarged. Operative findings revealed a mass fixed to the scrotal fundus and diagnosed as angiomyolipoma. This is apparently the first report of scrotal angiomyolipoma in infancy.

Introduction. Paratesticular tumors are rarely observed among scrotal neoplasm. Various types of benign lesions are described. Cavernous hemangioma belongs to uncommon epididymal benign tumors. Clinical and sonographic features are not conclusive and diagnosis requires histological confirmation. Case Presentation. Authors report a case of an epididymal hemangioma in a 56-year-old patient, consulting for a painful scrotal swelling. As malignancy was suspected, he underwent inguinal orchiectomy. Histological examination confirmed the diagnosis of cavernous epididymal hemangioma. Clinical and therapeutic aspects of this rare entity are discussed. Conclusion. Epididymis is an infrequent location of cavernous hemangioma. Diagnosis is rarely made preoperatively as symptoms and radiological aspects are not specific. Conservative surgery must be attempted once feasible for aesthetic and functional purposes.

Ovarian-type epithelial tumors are extremely rare in testis and paratestis, and in literature no cases of this tumor are reported in a patient with history of bilateral cryptorchidism. We describe a case of an 81-year-old man with a scrotal ulcerative lesion associated with signs of infection. After a skin biopsy showing tumor cells and mucin, we performed a surgical resection of this scrotal lesion and the final pathologic examination revealed a mucinous adenocarcinoma with medium grade of differentiation. The pathologist suggested performing additional tests of this tumor to differentiate it from mucinous “ovarian-type” paratesticular tumor and from a metastatic tumor. We did not find any tumor of different type. We discuss clinical presentation, differential diagnosis and treatment of this rare tumor. World J Nephrol Urol. 2015;4(4):260-263 doi: http://dx.doi.org/10.14740/wjnu235w

Genitourinary tuberculosis, the second most common extrapulmonary tuberculosis (TB), is very difficult to diagnose unless one maintains a high index of suspicion. Isolated tuberculous epididymitis (ITE), defined as tuberculous epididymitis without clinical evidence of either renal or prostate involvement, is a rare entity among genitourinary tuberculosis. When diagnosed correctly, ITE can be cured with anti-TB medications. However, patients with poor response to medical treatment may require surgery. Here, we report a 20-year-old man who presented with a slow-growing painless scrotal tumor for 2 months, with the initial workup suspicious for a right paratesticular tumor. Surgical resection of the tumor was therefore scheduled. However, severe pain and redness over the patient's right hemi-scrotum were noted on the day of surgery. A repeat scrotal ultrasound was performed that revealed findings suggesting a chronic inflammatory process rather than a malignancy. Frozen section of the lesion confirmed the ultrasonographic findings, and the pathology established the diagnosis of ITE. The patient remained on anti-TB therapy postoperatively for 6 months and had an excellent outcome.

症例は65歳，男性．5年前より両側の無痛性陰嚢腫大を自覚していたが放置していた．その後，陰嚢部が徐々に腫大してきたため近医を受診．2010年5月，精査加療目的に当科紹介となった．初診時，右陰嚢部は乳児頭大に，左陰嚢部は小児頭大に腫大していた．単純CTでは両側陰嚢内容は均一なlow density areaを呈し，両精巣は正常サイズで特に異常所見を認めなかった．両側陰嚢水腫と診症例は65歳，男性．5年前より両側の無痛性陰嚢腫大を自覚していたが放置していた．その後，陰嚢部が徐々に腫大してきたため近医を受診．2010年5月，精査加療目的に当科紹介となった．初診時，右陰嚢部は乳児頭大に，左陰嚢部は小児頭大に腫大していた．単純CTでは両側陰嚢内容は均一なlow density areaを呈し，両精巣は正常サイズで特に異常所見を認めなかった．両側陰嚢水腫と診断し，両側陰嚢水腫根治術を施行した．内溶液は両側共に褐色透明の漿液性で，右側が630ml，左側が900mlであった．巨大陰嚢水腫は，本邦では自験例を加えて21例が報告されている．断し，両側陰嚢水腫根治術を施行した．内溶液は両側共に褐色透明の漿液性で，右側が630ml，左側が900ml であった．巨大陰嚢水腫は，本邦では自験例を加えて21例が報告されている．

The coincidence of a classical scrotal testicular torsion with a scrotal tumor is a rare event. In the case described here the classical histological characteristics of a seminoma were present in addition to clear signs of testicular torsion with fibrin-containing thrombi in the intratesticular capillaries, so that the ischemia time predicted by the pathologists correlated well with the clinical data of 7.5 h for the testicular torsion estimated at the time of the intervention. The intraoperative diagnosis made by the surgeon allowed a rapid response with only a semi-castration, excision of the wound edges and a highest possible amputation of the funiculus.

Epithelioid hemangioma is an uncommon vascular lesion typically involving the skin of the head and neck. Genital involvement has rarely been reported. The presented case represents only the third published occurrence of scrotal involvement, the second in a pediatric patient, and exhibited the unusual presentation as a scrotal wall mass rather than a visible skin lesion.

In this study, the case has been reported of a scrotal tumor in a 50-year old male admitted with a large warty lesion at the base of the scrotum which resembled a giant condyloma accuminatum (Buschk-Lowenstein tumor). The HIV serology was negative, but the papillomavirus findings were positive. A complete resection of the tumor was performed. The histological findings confirmed the diagnosis of condyloma accuminatum without evidence of degenerative development into a squamous cell carcinoma. The clinical course was favorable, and no local recurrence was observed at 16 months follow-up. The problems that are frequently encountered in the diagnosis and therapy connected with this type of tumor have also been discussed.

Genitourinary tract tuberculosis is a specific chronic granulomatous infection. However, epididymal tuberculosis presented as a huge scrotal mass is uncommon. We report one case of epididymal tuberculosis that was noted 5 months after the prostate biopsy and was managed with unilateral simple epidymo-orchiectomy. Antituberculous drugs have been given as the medical treatment of tuberculosis postoperatively. Urinalysis became normalized and the scrotal ultrasonography showed normal left epididymis and testicle at 6-month follow up.

A 13-day-old boy presented with left scrotal tumor and coronary hypospadias. Left radical orchiectomy was performed. Histological diagnosis was embryonal-type paratesticular rhabdomyosarcoma. To the authors' knowledge, this is the first reported case of paratesticular rhabdomyosarcoma in a neonate in English-language literature. Also, theassociation of a testicular tumor with hypospadias has not been noted. J Pediatr Surg 35:605-606. Copyright © 2000 by W.B. Saunders Company.

A case of leiomyosarcoma of the scrotum in a 47-year-old man is presented. A review of the English literature revealed this to be the 7th reported case of leiomyosarcoma of the scrotum, and sufficient

An unusual scrotal mass occurring in a 72-year-old man is described. Clinically and grossly, the lesion appeared to be a neoplasm. However, microscopically the mass was composed of fibromyxomatous tissue that appeared to be degenerative rather than neoplastic in nature.

A five-year-old boy had an asymptomatic, periurethral, scrotal-perineal mass. An unusual associated urethral defect was subsequently discovered. The locally aggressive lesion was excised and urethroplasty accomplished. The histopathologic diagnosis proved to be plexiform neurofibroma. This is a forme fruste example of ectodermal dysplasia known as neurofibromatosis. I believe this is the first report of similar scrotal, perineal, or periurethral involvement in the syndrome.

This paper is offered as a clinical study of operative measures for the cure of hernia. The cases reported represent all the usual varieties and were operated on during the eight months ending with April, 1889. Case 1.—J. R., aged 45, an invalid for years from a large scrotal tumor. I had twice aspirated a few ounces of bloody fluid. There was also disease of the testicle. From the external ring there was a firm mass the size of the fist, continuous with the scrotal tumor. He had consulted several physicians, including members of the surgical staff of the Massachusetts General Hospital. Diagnosis uncertain, perhaps a malignant tumor; operative measures unadvisable. I operated August 29, 1888, assisted by Dr. S. N. Nelson, of Boston. Removed the diseased testis; opened the hernial sac, which was found to contain only compressed omentum. Its folds were adherent, but were separated into the specimen

A 1-month-old male newborn was operated upon for a scrotal tumor that was localized outside of the testis. Histological diagnosis was neuroblastoma. Although neuroblastoma often may present as metastatic disease when first seen, this case is unique in that an undetected adrenal neuroblastoma presented as a paratesticular tumor immediately after birth.

Calcified scrotal masses are of such unusual frequency that they merit reporting. The particular case under consideration has additional interest because of the associated generalized lymphosarcoma. Patient L. H., male, 74 years of age, applied to the Tumor Clinic of the Jewish Hospital on Oct. 10, 1935, complaining of large lumps in the axillae which interfered more or less with the free movements of his arms. He believed that the lumps had been present for about six months, gradually increasing to the present size. During the past three months he had noticed increasing constipation, requiring laxatives from time to time. Of late he has been troubled with a slight cough. There was no loss of appetite, weight, or strength. Physical examination disclosed a well-developed, well-nourished elderly white man. The glands of the neck were palpable and some of them were considerably enlarged, varying from 3 to 5 cm. in diameter. The axillary glands were of enormous size, especially on the left side, so that the l...

(Concluded from page 708.) I wish now to say a few words from my own knowledge of the subject. My experience, has been very limited in regard to hypnotic therapeutics, and it is only as a therapeutic measure that I have any knowledge of hypnotism at all. Some thirty years ago, about the termination of the Sepoy mutiny in India, I visited the mesmeric hospital which had been established in Cal cutta, by Dr. Esdaile, many years before my time, and witnessed a capital operation on a na tive who had been put into the mesmeric trance. On the following week I repeated my visit with the surgeon in charge ofthe hospital, and by his kindness and courtesy, I had the opportunity of performing two operations, an amputation of the thigh, and the removal of a scrotal tumor, which was found to weigh a little above fifty pounds. Both these