PMC5902119_01
Cauliflower-like fungating mass with foul-smelling purulent discharge.
CRIID2018-7267213.001.jpg
PMC5902119_01_CRIID2018-7267213.001.jpg
fig1
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).
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.
CRIID2018-7267213.002.jpg
PMC5902119_01_CRIID2018-7267213.002.jpg
fig2
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)).