Giant Para-scrotal Fibroepithelial Polyp

Abstract

BACKGROUNDWe present the case report of a genital fibroepithelial polyp in male at the seventh decade of life, with long evolution of 15 years and benign course. Definitive surgical treatment was surgical excision. We have reviewed the literature and give recommendations on differential diagnosis and treatment. CASE REPORTA 68-year-old male patient, with a pathological history of hypertension treated with manidipine, hypercholesterolemia treated with atorvastatin and type II diabetes mellitus treated with metformin, went to the emergency department at the hospital due to fever and abdominal pain in the left flank irradiated to the left testis along 12 h before.Physical examination revealed temperature of 38.8°C, abdominal exploration with no findings, and a solid tumor of 20 cm length with a pedicle narrowed to the middle scrotal raphe with erythematous and necrotic areas [Figures 1-3]. Blood tests showed leukocytosis of 14,000 and C-reactive protein of 85. The urine culture was negative. Treatment was started with amoxicillin and amikacin intravenously, and patient presented good improvement.Abdominal ultrasound and computed tomography scan were performed without evidence of pathology. The ultrasound and magnetic resonance imaging of the scrotum revealed testicles within normality and the presence of a non-vascularized para-scrotal mass with a maximum diameter length of 20 cm [Figures 4 and 5].The patient explained that he had the scrotal tumor for 15 years and he had never consulted a doctor before for

Giant inflamed fibroepithelial scrotal polyp mimicking an anogenital wart

“…They are benign, pedunculated and papillomatous, characteristically with both epidermal and stromal components, usually with a maximum size of 1cm. 1,2 Giant fibroepithelial polyps however are rare. The term describes lesions that are larger in size, often more than 5 cm.…”

“…They are benign, pedunculated and papillomatous, characteristically with both epidermal and stromal components, usually with a maximum size of 1cm. 1,2…”