Elderly Man With Weight Loss and Groin Masses

A 62-year-old man presented to the emergency department with concerns about fatigue, weight loss, and a self-described "boil" on his left lower abdomen. He stated that the lesion appeared and became rapidly progressive during the preceding 3 months. Physical examination revealed a mildly wasted, elderly man with a 4-by-5-cm exophytic mass in the left inguinal fold (Figure 1) and contralateral firm adenopathy (Figure 2). Subsequent complete genitourinary examination revealed a 6-by-3-cm exophytic mass on the posterior, left scrotal wall (Figures 3 and 4) that was not offered in history by the patient.

https://ift.tt/2QCW6R1