Žulpaitė Giedrė, Žulpaitė Rūta, Vėželis Alvydas
Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania.
National Cancer Institute, 08660 Vilnius, Lithuania.
J Surg Case Rep. 2023 Mar 25;2023(3):rjad128. doi: 10.1093/jscr/rjad128. eCollection 2023 Mar.
Scrotal squamous cell carcinoma (SCC) is a rare condition that typically manifests in the sixth decade of life and usually presents as a painless, solitary nodule that slowly increases in size, ulcerates, and gets infected. The diagnosis is often delayed, as the majority of patients tend to avoid seeking medical help due to embarrassment. We present a 62-year-old male with a massive 8 cm ulcerating painless tumor in the scrotum. A patient underwent scrotal extirpation with bilateral orchofuniculectomy and diagnostic bilateral inguinal lymphadenectomy. Histopathology revealed a well-differentiated SCC of the scrotal skin. Ignorance, lack of self-awareness, knowledge about risk factors and aggravated access to healthcare facilities remain important reasons for late diagnosis.
阴囊鳞状细胞癌（SCC）是一种罕见疾病，通常在60岁左右出现，通常表现为无痛性孤立结节，其大小会缓慢增大、发生溃疡并感染。由于大多数患者因尴尬而往往避免寻求医疗帮助，诊断常常延迟。我们报告一名62岁男性，其阴囊有一个8厘米大的巨大无痛性溃疡性肿瘤。患者接受了阴囊切除、双侧睾丸精索切除术及双侧腹股沟诊断性淋巴结清扫术。组织病理学检查显示为阴囊皮肤高分化鳞状细胞癌。无知、缺乏自我意识、对危险因素的了解以及获得医疗保健设施的困难仍然是诊断延迟的重要原因。
