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A 63-year-old man with generalized vitiligo presented with a two-year history of irritation and itching in his scrotal area. No ultraviolet treatment for the vitiligo had been received. Physical examination revealed an erythematous, raised lesion with an ulcerated center on the posterior aspect of the scrotum. This was initially treated as a fungal infection, but the irritation did not respond to antifungal therapy. Examination of a shave-biopsy specimen showed squamous-cell carcinoma. The patient underwent a partial scrotectomy, and pathological assessment showed invasive squamous-cell carcinoma with negative surgical margins. The results of tumor staging that was performed with the use of . . . [Full Text of this Article] |