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| Year : 2011 | Volume
: 22
| Issue : 2 | Page : 357-358 |
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| Gigantic scrotal calcinosis |
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Hassen Khouni1, Nizar Bouchiba1, Yasser Amara2, Rahma Sbabti1, Meher Charfi3, Faycel Elkateb1, Adnene Chouchene1, Maamoun Benchikh2, Med Hedi Balti1, Habib Bouhaoula3
1 Department of Surgery, F.S.I Hospital La Marsa, La Marsa, Tunisia
2 Department of Anesthesiology-Reanimation, F.S.I Hospital La Marsa, La Marsa, Tunisia
3 Department of Radiology, F.S.I Hospital La Marsa, La Marsa, Tunisia
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| Date of Web Publication | 18-Mar-2011 |
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How to cite this article:
Khouni H, Bouchiba N, Amara Y, Sbabti R, Charfi M, Elkateb F, Chouchene A, Benchikh M, Balti MH, Bouhaoula H. Gigantic scrotal calcinosis. Saudi J Kidney Dis Transpl 2011;22:357-8 |
How to cite this URL:
Khouni H, Bouchiba N, Amara Y, Sbabti R, Charfi M, Elkateb F, Chouchene A, Benchikh M, Balti MH, Bouhaoula H. Gigantic scrotal calcinosis. Saudi J Kidney Dis Transpl [serial online] 2011 [cited 2022 Jun 27];22:357-8. Available from: https://www.sjkdt.org/text.asp?2011/22/2/357/77643 |
To the Editor,
Idiopathic scrotal calcinosis is a rare benign entity that consists of multiple calcified nodules within the scrotal skin; nodules may range from one to a hundred in number and from 1 mm to several centimeters in size. We encountered a 48-year-old man with a 4-month history of asymptomatic scrotal tumors, which had gradually increased in size and number; sometimes they degenerated to discharge a chalky material. Physical examination revealed bilateral multiple yellowish papules within scrotal skin, and with a diameter of 12-15 cm [Figure 1] and [Figure 2]. The patient had no history of trauma, inflammatory disease or metabolic disorder, and no family history of similar or other skin lesions. He had a normal urinalysis and blood chemical examination which included calcium, phosphorus and parathyroid hormone.
The tumors were removed under general anesthesia, and on histological examination, the nodules were composed of basophilic calcified material and located in the dermis, while foreign giant cells and fibrosis were present adjacent to the atrophic stratified squamous epithelium [Figure 3]. Immunhistochemically, carcinoembryonic antigen (CEA) was negative while cytokertin was positive on the surface of the epithelial lining of the scrotum. No recurrence was observed after a 9-month follow-up period, and a good esthetic result was obtained.
Idiopathic calcinosis of the scrotum is a rare condition that is characterized by the presence of multiple calcified and asymptomatic nodules within scrotal skin, ranging in size from a few millimeters to several centimeters. [1],[2] It may occur in patients of age from 9 to 85 years. [3] The nodules are usually confined to the scrotum and are mostly asymptomatic. [4] However, a feeling of heaviness in the scrotum, discharge and itching are the most frequently encountered complaints. [5] A case of scrotal calcinosis mimicking a chronic pelvic syndrome was also reported. [6] The pathogenesis of this condition is still not clear, which could be dystrophic calcification of cysts, [7] inflammation and calcification, [8] or benign eccrine epithelial cyst, [9] or an idiopathic entity. [2],[10] Scrotal calcinosis can only be differentiated by histological examination from testicular tumors, gonadoblastomas and Leydig cell tumors. [11] Subtotal excision of the scrotal wall seems to be the gold standard for the treatment of this condition, mainly for large tumors. [4] Finally, there is a novel pinch-punch excision for small scrotal calcinosis with a good surgical outcome. [12] In the case presented here, there was a gigantic tumor which was completely excised, with a satisfactory result during the period of followup.
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| 9. | Ito A, Sakamoto F, Ito M. Dystrophic scrotal calcinosis originating from benign eccrine epithelial cysts. Br J Dermatol 2001;144:146-50.
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| 10. | Hicheri J, Badri T, Fazaa B, et al. Scrotal calcinosis: Pathogenesis and case report. Acta Dermatovenerol Alp Panonica Adriat 2005;14(2): 53-6.
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| 11. | Parlakgumus A, Canpolat ET, Caliskan K, et al. Scrotal calcinosis due to resorption of cyst walls: A case report. J Med Case Rep 2008;2:375.
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| 12. | Chang CH, Yang CH, Hong HS. Surgical Pearl: Pinch-Punch excisions for scrotal calcinosis. J Am Acad Dermatol 2004;50:780-1.
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Correspondence Address:
Hassen Khouni
Department of Surgery, F.S.I Hospital La Marsa, La Marsa
Tunisia
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 21422646 
[Figure 1], [Figure 2], [Figure 3] |
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