ABSTRACT

Idiopathic scrotal calcinosis is characterized by the presence of multiple firm nodules of scrotal skin. The nodular calcifications are typically found in the se-cond decade of life. The lesions are seen as asymptomatic, round, firm papules. A 53-year-old man was admitted with painless, firm nodules within the scro-tum. The lesions had begun to appear at the age of 23 years and some of them had become polypoid progressively over time. There was no trauma or previous surgical treatment. The serum levels of calcium, phosphorus, calcitonin, and parathyroid hormone were within normal limits. The polypoid masses were surgically excised. Histological examination of the cysts revealed dystrophic calcification of their keratin contents but no epithelial lining. To the best of our knowledge, this is the second case of scrotal calcinosis with polypoid appea-rance in the literature.