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2018 ; 11
(ä): 333-337
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Idiopathic scrotal calcinosis: report of 2 cases, and review of pathogenesis and
factors that determine patients acceptance of surgical treatment
#MMPMID30022844
Akinboro AO
; Onilede DA
; Babatunde TO
; Oiwoh SO
; Suleiman OA
; Olabode OP
Clin Cosmet Investig Dermatol
2018[]; 11
(ä): 333-337
PMID30022844
show ga
INTRODUCTION: Idiopathic scrotal calcinosis is a benign and rare disease of the
scrotal skin that presents as solitary or multiple asymptomatic calcified nodules
in the absence of systemic disorders of calcium/phosphorus balance. CASE REPORTS:
We report the management of 2 cases and review the literature with comments on
factors that determine acceptance or otherwise of surgical treatment. Our
patients were 29 and 33 years old and presented with nodular scrotal lesions.
Through multiple elliptical incisions, all nodules were excised from patient 1,
but patient 2 refused surgery. Reasons for rejection included fear of future
reproductive performances. Histology shows calcium deposition in basophilic
globules of varying sizes and shapes within the reticular dermis, multinucleated
giant cells, dense collagenous stroma, areas of fibrosis, and sparse lymphocytic
infiltrate. CONCLUSION: In the management of idiopathic scrotal calcinosis,
factors that determine acceptance of surgical treatment could include impaired
quality of life, reduced self-esteem, fear of future sexual dysfunction, and
development of complications.