Idiopathic scrotal calcinosis: report of 2 cases, and review of pathogenesis and factors that determine patients’ acceptance of surgical treatment
Authors Akinboro AO, Onilede DA, Babatunde TO, Oiwoh SO, Suleiman OA, Olabode OP
Received 18 May 2017
Accepted for publication 7 September 2017
Published 11 July 2018 Volume 2018:11 Pages 333—337
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Jeffrey Weinberg
Adeolu Oladayo Akinboro,1 David Adekunle Onilede,2 Taiwo Olabimpe Babatunde,3 Sebastine Oseghae Oiwoh,1 Oreoluwa Adeola Suleiman,3 Olatunde Peter Olabode4
1Dermatology Unit, Department of Internal Medicine, Ladoke Akintola University of Technology, Ogbomoso and LAUTECH Teaching Hospital, Ogbomoso, Oyo, Nigeria; 2Plastic Surgery Unit, Department of Surgery, LAUTECH Teaching Hospital, Ogbomoso, Oyo, Nigeria; 3Department of Histopathology, LAUTECH Teaching Hospital, Ogbomoso, Oyo, Nigeria; 4Department of Internal Medicine, LAUTECH Teaching Hospital, Ogbomoso, Oyo, Nigeria
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.
Keywords: idiopathic scrotal calcinosis, surgery, treatment
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