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March 1989

Solitary Nodule of the Scrotum

Author Affiliations

Duke University Medical Center, Durham, NC

Arch Dermatol. 1989;125(3):421-422. doi:10.1001/archderm.1989.01670150111021

REPORT OF A CASE  A 52-year-old man presented to the Veterans Administration Hospital in Durham, NC, for evaluation of a groin rash. He complained of a several-year history of itching in the groin despite the use of multiple over-the-counter preparations. He also mentioned the presence of a small lump on his scrotum. The lump had appeared 2 years earlier, grown over a few months, and then remained unchanged for the past 11/2 years. It was asymptomatic.Physical examination revealed a mildly erythematous scrotum and inner thighs. There was no scale. The result of Wood's light examination was negative. There was, however, a solitary, 1-cm, flesh-colored, dermal nodule on the right side of the scrotum (Figs 1 and 2). It was minimally firm and nontender. There was no epidermal change. The penis and scrotal contents were otherwise normal. A shave biopsy was performed and the specimen stained with hematoxylin-eosin (Figs 3