Giant Acrochordon Arising from Scrotum: An Uncommon Presentation

Abstract

Background: Acrochordons have an irregular or smooth surface and most commonly located on eye lids, neck, axillae, trunk, groin, and on the lumbar area. There are a few case reports of giant acrochordons including one reported on male external genitalia. Case Report: A 50-year-old man with a pedunculated mass, diameter 9 cm, arising from right scrotum since 3 years ago. Body mass index was 27.3 kg/m 2. There was no pain, redness and no ulceration. The lesion was totally removed with CO 2 laser under local anesthesia. Diagosis was confirmed by histopathological examination. Discussion: The predisposising factor in this patient is obesity. Acrochordon can be removed with electrodesiccation, curved or serrated blade scissors, cryotherapy or even laser surgery. CO 2 laser surgery under local anesthesia in this patient was cosmetically acceptable by simple procedure.