Idiopathic Scrotal Calcinosis

Abstract

Idiopathic scrotal calcinosis (ISC) is a rare benign condition which presents with multiple, asymptomatic, and painless nodules on the scrotal skin wall. The lesions have been attributed as sebaceous cysts, calcified steatocystoma, fibroma, atheroma, and xanthoma. Shapiro et al. reviewed the histologic data and found no evidence of an epithelial lining, residual cysts, and lipid or organisms, and concluded that the calcification was idiopathic introducing the term "idiopathic scrotal calcinosis." We have studied four cases of idiopathic scrotal calcinosis, one of which had scrotal calcinosis involving the whole of the scrotum. He presented with painless multiple nodules over the scrotum. He was subjected for surgery with SOS skin grafting, but as the scrotal skin is so lax, primary closure is easily possible. In all our four cases, primary closure was easily possible. Keywords Calcinosis . Inclusion cyst . Scrotal swellings Case HistoryA 40-year-old male came in surgery OPD for multiple painless nodules involving the whole of the scrotum (Fig. 1). All routine investigations including HIV and VDRL were done which were normal. He was posted for in toto excision with skin grafting, but surprisingly, primary closure was possible and his postoperative recovery was very good (Fig. 2). The specimen was sent for histopathology which was suggestive of calcinosis of the scrotum (Fig. 3).

Idiopathic Scrotal Calcinosis – A Case Report

“…The latter is designated idiopathic scrotal calcinosis. The major difference to calcified cysts is the complete absence of a lining epithelium [ 3 ]. Surgery is the treatment of choice.…”

Multiple nodules in the scrotal wall

“…Herein, we report a rare case of extensive ISC. It affects dark‐colored skin men aged from 20–40 years old, suggesting an ethnic susceptibility 1 …”

Idiopathic scrotal calcinosis: Case report

“…Our Differential diagnosis was: -Scrotal Sebaceous Cysts -Scrotal Malignancy -Calcified Steatocystoma [2] Based on the patient history and our deferential diagnosis, we booked the patient for surgery as an outpatient day care case surgery for removal of the scrotal nodules. Under general anesthesia, we did elliptical incisions and some of the nodules we did e nucleation, we removed all the nodules which were nine in number.…”

“…Shapiro et al reviewed the histologic data and found no evidence of an epithelial lining, residual cysts, lipid or organisms, and concluded that the calcification was idiopathic introducing the term "idiopathic scrotal calcinosis [2].…”