PMC411041_01
The clinical and preoperative picture showing the ulcero-proliferative lesion on the right side of the scrotum. The healed scar of previous debridement done for necrotizing fascitis on the anterior abdominal wall can also been seen.
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F1
There was a 6 x 7 cm, fungating, ulcero-proliferative growth with everted edges on the right hemiscrotum, which was fixed to the underlying tissues (Fig. 1).
Wide local excision completed and the right testes can be seen at 12 'o clock position about to be placed in the contra lateral scrotum through an opening in the median raphe.
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F2
The patient was prepared for surgery and a wide local excision amounting to right hemiscrotectomy and placement of the right testes in left hemiscrotum through the median raphe was done (Fig. 2).
The resected specimen showing the excised Primary lesion along with lymph nodes (en bloc specimen).
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F3
Right ilio-inguinal block dissection was performed en bloc i.e. the lymph nodes were removed in continuity with the primary tumour (Fig. 3).
Photomicrograph showing poorly differentiated squamous cell carcinoma with a high mitotic index and densely staining anaplastic cells
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F4
The cells were rounded, polyhedral and had eosinophillic or clear cytoplasm (Fig. 4).