DOI: 10.36347/sjmcr.2014.v02i02.002

Pages: 74-77

Verrucous carcinoma of the scrotum is very rare and most cases are thought to result from poor hygiene and chronic irritation. Regional lymph node metastasis is rare and distant metastasis has yet not been reported1.. Surgery with a negative resection margin offers the best hope of cure as adjunctive therapy has not proved useful. We report a case of verrucous carcinoma in a 60 year man with epigastric secondary. A 60 year old farmer with multiple sexual partners presented to our clinic on account of extensive scrotal ulcer which started 8 years prior to presentation as multiple swellings in form of blisters but increased progressively to the perineum after bursting to form ulcers. About a year prior to presentation he developed an epigastric mass that increased in size slowly. Incisional biopsy of the scrotal lesion with excisional biopsy of the epigastric mass showed verrucous carcinoma of squamous cell type. An extensive surgical excision with at least 2 cm margin was performed and a split thickness skin graft was done. Wound healed almost completely before he was discharged home but he was lost to follow-up.