case_images: PMC10364443_01
case_images: Preoperative and intraoperative findings of specialized physical examination; (A,B) giant scrotal mass growing in cauliflower-like pattern with clear boundary with normal scrotum; (C) gross picture after complete resection of the mass during operation; (D) pictures of incision suture after mass resection.
case_images: fped-11-1191983-g001.jpg
case_images: PMC10364443_02_fped-11-1191983-g001.jpg
case_images: F1
case_images: After entirely free of the mass and scrotal subcutaneous pedicle tissue 0.5 cm from the boundary of the mass, the tumor was removed completely (Figures 1B-D).
case_images: Preoperative colour Doppler ultrasonography; (A) bilateral testicular colour Doppler ultrasonography; (B,C) giant scrotal mass detected by CDFI; (D) findings on PD examination of the giant scrotal mass.
case_images: fped-11-1191983-g002.jpg
case_images: PMC10364443_01_fped-11-1191983-g002.jpg
case_images: F2
case_images: The ultrasonographic findings were as follows: (1) The image of a solid mass in the scrotum wall (hemangioma? Non-exclusive malignant lesions). (2) Bilateral testes and epididymis were normal (Figure 2).
case_images: PMC10364443_02
case_images: Preoperative and intraoperative findings of specialized physical examination; (A,B) giant scrotal mass growing in cauliflower-like pattern with clear boundary with normal scrotum; (C) gross picture after complete resection of the mass during operation; (D) pictures of incision suture after mass resection.
case_images: fped-11-1191983-g001.jpg
case_images: PMC10364443_02_fped-11-1191983-g001.jpg
case_images: F1
case_images: After entirely free of the mass and scrotal subcutaneous pedicle tissue 0.5 cm from the boundary of the mass, the tumor was removed completely (Figures 1B-D).
case_images: Intraoperative frozen pathology and postoperative pathological examination pictures; (A-C) intraoperative frozen HE staining findings (A: 10X, B,C: 40X); (D-F) a postoperative pathological examination of HE staining (D: 10X, E,F: 40X); (G-L) immunohistochemical findings of postoperative pathological examination (G: CD34, H: ERG, I: MSA, J: S-100, K: SMA, L: SOX-10) (G-L: 40X).
case_images: fped-11-1191983-g003.jpg
case_images: PMC10364443_02_fped-11-1191983-g003.jpg
case_images: F3
case_images: Intraoperative frozen pathology showed that the tumor tended to be benign (Figures 3A-C). Postoperative pathological examination showed that the surface of the mass was covered with stratified squamous epithelium, with partial epithelial loss, and pus on the surface, beneath which were proliferated fibers, blood vessels, smooth muscle, and fat, accompanied by a large number of acute and chronic inflammatory cell infiltration (Figures 3D-F). Immunohistochemistry showed CD34 (+), ERG (+), muscle-specific actin (MSA) (-), S-100 (-), smooth muscle actin (SMA) (+), and SOX-10 (-) (Figures 3G-L).