case_images: PMC6920227_01
case_images: Large swelling of the penis and the scrotum with mossy papules and cobblestone-like nodules.
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case_images: PMC6920227_01_gr1.jpg
case_images: fig0005
case_images: Physical examination revealed a large swelling of penis and scrotum, generalized thickening of the skin with mossy papules, plaques, and cobblestone-like nodules (Fig. 1).
case_images: Delayed lymphoscintigraphy image showing no uptake in bilateral inguinal lymph nodes (arrow).
case_images: gr2.jpg
case_images: PMC6920227_01_gr2.jpg
case_images: fig0010
case_images: Images showed slow tracer migration bilaterally along inguinal and external iliac lymphatic chains more pronounced on the left side (Fig. 2).
case_images: Skin biopsy showing: Hyperkeratosis, irregular epidermal hyperplasia with sparse superficial and midperivascular infiltrate.
case_images: gr3.jpg
case_images: PMC6920227_01_gr3.jpg
case_images: fig0015
case_images: Skin biopsy specimens revealed hyperkeratosis, focal epidermal necrosis, a collection of widely dilated vessels in dermis with mild perivascular lymphocytic infiltrate (Fig. 3).