scrotal squamous cell carcinoma secondary to chronic urinary irritation: a case report with inguinofemoral and suprapubic lymph node involvement

A 60-year-old man with a scrotal ulcer was referred to our cancer surgery clinic. biopsy was positive for squamous cell carcinoma (scc), which should be considered even in clinically node-negative cases; therefore, the tumor was removed. in addition, adjuvant treatment was not performed. three months later, the tumor recurred in the scrotum and inguinal regions. surgical removal and bilateral lymphatic dissection were performed. treatment was completed with radiotherapy. after one month, the tumor recurred in the suprapubic area, which was removed, and chemotherapy with “methotrexate” was started. after six months, there was no recurrence of the disease. according to other studies as well as our observations, in cases of scc of the scrotum, sentinel lymph node biopsy should be used in cases with negative nodes, as well as full adjuvant treatments; local surgery is not sufficient.