Basal cell carcinoma arising from the scrotum: An understated entity

An unusual case of basal cell carcinoma in the scrotum

“…Wider excision (2 cm) more than the recommended 4 mm margins were taken to ensure complete excision which the prior literature is in agreement with. 4 Regular follow ups have been advised to evaluate recurrence and metastasis.…”

“…3 85% of all BCCs occur in the head and neck region since ultraviolet (UV) light is the most common predisposing factor. 4 An Iranian study failed to find a significant relationship between HPV and BCC based on immunohistochemical techniques, thereby making the role of HPV in BCC controversial. 5 Incidence rate of BCC in colored skin ranged from 1.5 to 15.57/100,000 population in previous studies.…”

An approach to evaluating scrotal skin-based lesions: A case report of Basal Cell Carcinoma of the Scrotum in patient with multiple risk factors

“… 3 Scrotal rugosity complicates delineation of tumour margins, however tissue preservation prevents cosmetic defect. 4 Imiquimod cream may be an adjunct to reduce BCC size and hence surgical defect. 3 There would be a role for lymph node dissection and adjuvant chemotherapy or radiotherapy if metastasis was evident.…”

“… 1 The lack of subcutaneous fat and high vascularity of the scrotum may contribute to the more aggressive course of scrotal BCC. 4 Involvement of the dartos muscle may be a poor prognostic indicator on final pathology. 1 Given its unique behaviour, scrotal BCC patients should be monitored with thorough examination, and imaging especially in high-risk patients with dartos involvement, positive surgical margins or are immunosuppressed.…”

Micronodular basal cell carcinoma of the scrotum: a case report and review of the literature

“… Spain 50 Eroded exophytic tumor No 1 Solid BCC No 12 Asbestos [ 24 ] 2018 Padoveze et al . Brazil 87 Perlaceous tumor with telangiectasias No 2.5 Nodular BCC No 6 No [ 25 ] 2020 Han et al . China 74 Nodule No 2 Superficial BCC No 144 No 2021 Current case Syria 55 Nodule Yes 0.7 Micronodular BCC No 24 No LN lymph nodes, NF neurofibromatosis …”