case_images: PMC5902119_01
case_images: Cauliflower-like fungating mass with foul-smelling purulent discharge.
case_images: CRIID2018-7267213.001.jpg
case_images: PMC5902119_01_CRIID2018-7267213.001.jpg
case_images: fig1
case_images: Physical examination revealed an approximately 15 cm x 10 cm fungating mass with multiple sinuses and fistulas involving entire right buttock and perineum along with a very foul-smelling purulent discharge (Figure 1).
case_images: MRI of the pelvis shows extensive infiltration of the mass (indicated by solid arrow) into pelvic structures. (1) Rectum, (2) femoral head, (3) symphysis pubis, (4) ischiorectal fossa, and (5) urethra.
case_images: CRIID2018-7267213.002.jpg
case_images: PMC5902119_01_CRIID2018-7267213.002.jpg
case_images: fig2
case_images: MRI of the pelvis revealed extensive necrotic tumor extending to the right pelvic sidewall including ischium, ischiorectal fossa, perineum, insertion of corpus cavernosum, scrotal base, and right gluteal area, with involvement of the subcutaneous tissues (Figure 2 and supplementary materials (available here)).