Idiopathic Scrotal Calcinosis - A Case Report

Scrotal calcinosis: a case report and literature review

OBJECTIVE

To understand the clinical features of idiopathic scrotal calcium deposits, to improve the understanding of the disease, and to discuss its etiology, pathogenesis and scrotal reconstruction strategies in the course of diagnosis and treatment.

METHODS

To analyze the diagnosis and treatment of one case of idiopathic calcium salt deposition in the scrotum and to review the relevant literature.

RESULTS

The patient was a 55-year-old male with multiple yellowish-white nodules of varying sizes in the scrotum for more than 20 years, with hard nodules and no tenderness or ulcerative manifestations. Under subarachnoid anesthesia, the scrotum was reconstructed after surgical excision of all diseased nodes, and postoperative pathology was consistent with scrotal calcium salt deposition.

CONCLUSION

Scrotal idiopathic calcium deposits is a rare skin conditions caused by insoluble calcium salts deposited in the scrotal skin tissue, for which surgical excision of the lesion is the main treatment modality with remarkable results. It needs to be differentiated from epidermoid cysts, multiple lipodystrophies of the scrotum, and scabies nodules.

Point of technique: Limited anterior scrotectomy and scrotoplasty for multiple epidermoid cysts of the scrotum

Multiple scrotal epidermoid cysts present a difficult challenge. Individual cyst excision for multiple cysts is painstaking, and there is a high risk of recurrence. If treated conservatively, multiple cysts may cause pain, become infected or cause problems with self-esteem due to the cosmetic appearance. We present a technique for excision of the anterior scrotal wall as a treatment for multiple scrotal epidermoid cysts.

Level of evidence: Not applicable.

CO2 Laser Treatment in Idiopathic Scrotal Calcinosis: A Case Series

Introduction: Idiopathic scrotal calcinosis (ISC) is a benign and uncommon condition characterized by the presence of multiple and calcified nodules of the scrotum without disorders in the calcium/ phosphorous metabolism. The condition is usually asymptomatic. Various treatments are available. Surgery is the traditional treatment for ISC, as it allows a histopathological exam. However, newer treatments, such as ablative lasers, have been proposed with very good results. Methods: In this article, we report our experience in the treatment of ISC with a CO₂ laser. Five patients affected by ISC were enrolled for CO₂ laser treatment. Results: All patients had excellent healing. Four patients reported minimal scarring. No bleeding was reported after the procedure. Two patients reported itching and were treated with oral antibiotics and antihistamine drugs. Conclusion: The CO₂ super pulsed laser is a fast and effective way to treat ISC and may be an alternative to traditional surgery in this condition.