PMC6920227_01
Large swelling of the penis and the scrotum with mossy papules and cobblestone-like nodules.
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Physical examination revealed a large swelling of penis and scrotum, generalized thickening of the skin with mossy papules, plaques, and cobblestone-like nodules (Fig. 1).
Delayed lymphoscintigraphy image showing no uptake in bilateral inguinal lymph nodes (arrow).
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Images showed slow tracer migration bilaterally along inguinal and external iliac lymphatic chains more pronounced on the left side (Fig. 2).
Skin biopsy showing: Hyperkeratosis, irregular epidermal hyperplasia with sparse superficial and midperivascular infiltrate.
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Skin biopsy specimens revealed hyperkeratosis, focal epidermal necrosis, a collection of widely dilated vessels in dermis with mild perivascular lymphocytic infiltrate (Fig. 3).