how to diagnose and differentiate scrotal cancer-scrotal cancer is easy to confuse the disease
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Confusing diseases: scrotal inflammatory cancer testicular tumors
Differential diagnosis of scrotal cancer
1. Testicular tumors
It can directly invade the sheath or the skin of the scrotum, or metastasize to distant organs through the blood, similar to malignant tumors such as scrotal reticulosarcoma, rhabdomyosarcoma, leiomyosarcoma, and melanoma. However, the testis on the tumor side is enlarged, the surface is smooth, the tumor is hard and heavy, and loses its inherent elasticity, and nodules may appear on the surface; tumor cells can be seen on the biopsy.
2. Inflammatory cancer of the scrotum
It is also known as eczema-like carcinoma of the skin of the scrotum and Paget's disease. It is a lesion similar to the inflammatory cancer of the nipple and areola in the scrotum. It occurs in the age group over 50 years old and has a long course of disease. The skin of the scrotum is red, showing an area of skin lesions interlaced with erosions and erythema, with chronic inflammation and induration, which can adhere to the skin of the scrotum. Biopsy showed Paget cells, single or nested, spreading along sweat glands and ducts, hair follicles, and sebaceous glands; epidermal germinal layer spine cells grew and widened, the dermis was infiltrated with round cells, and there were many mitotic figures in the epidermis. The PAS reaction is positive, and the amylase-resistant low molecular weight keratin reaction is positive.
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