Scrotal calcinosis is a rare condition characterized by multiple calcified nodules within scrotal skin. To our knowledge, only 67 cases have been reported to date. The etiology has been widely disputed and is viewed by many to be idiopathic.
Typical cases involve multiple small, asymptomatic papules and nodules on the scrotum.
However, our case illustrates that scrotal calcinosis should also be considered in the differential diagnosis of large polypoid lesions of scrotal skin. The patient reported that the lesions had been present since he was a teenager and that they had become progressively larger with time. Clinically, the masses initially appeared as epidermal cysts. The serum calcium level was within the normal range. The patient was discharged 4 days after surgery and had no complications.