Back issues No.1 - 2014 / Correspondence  

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A large fungating verruciform xanthoma of the scrotum in association with arteriovenous malformation mimicking giant condyloma
Kuei-Chung Liu, Chao-Kai Hsu, Sheau-Chiou Chao, Julia Yu-Yun Lee

A 97-year-old man with underlying hypertension and benign prostate hyperplasia, had a large tumor on the right side of his scrotum for decades, during which time the tumor gradually enlarged. Easy bleeding upon irritation was recently noted, which prompted him to seek medical help. Physical examination revealed a 5 cm × 3 cm × 3.4 cm, pinkish fungating tumor, with a warty surface and focal hemorrhagic crust. Engorged blood vessels were noted near the stalk (Figure 1). Sonography showed hypervascularity. Projectile bleeding from the stalk base was noted during tumor excision.

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