title: Massive scrotal calcinosis.
abstract: BACKGROUND
  Scrotal calcinosis is a benign entity characterized by the appearance of calcific masses within the dermis of scrotal skin. Its pathogenesis has not been fully elucidated.
  
  
  OBJECTIVE
  A 36-year-old man with massive scrotal calcinosis is described. Our aim was to perform a histologic examination of the surgical piece with subsequent closure of the defect achieving satisfactory cosmetic results.
  
  
  METHODS
  Case report and literature review.
  
  
  RESULTS
  Histologic studies of multiple nodules showed no epithelial lining and one calcified epidermal cyst. Subtotal excision of the scrotal wall was performed with excellent results.
  
  
  CONCLUSIONS
  Even though the pathogenic mechanism of this entity is still unclear, our findings support the theory of dystrophic calcification of epidermoid cysts. Surgical treatment is the only definitive treatment. Subtotal excision of the scrotal wall in cases of massive calcinosis may be performed with good results.
authors.affiliation: Department of Dermatology, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: D P
authors.initials: DP
authors.lastname: Ruiz-Genao
authors.forename: L
authors.initials: L
authors.lastname: Ríos-Buceta
authors.forename: L
authors.initials: L
authors.lastname: Herrero
authors.forename: J
authors.initials: J
authors.lastname: Fraga
authors.forename: M
authors.initials: M
authors.lastname: Aragüés
authors.forename: A
authors.initials: A
authors.lastname: García-Díez
mesh_terms: D000328:Adult; D002114:Calcinosis / Q000473:pathology / Q000601:surgery*; D005832:Genital Diseases, Male / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D012611:Scrotum / Q000473:pathology / Q000601:surgery*