Unusual Location of a Rare Tumor: Cutaneous Myxoma of the Scrotum

Myxoma is a rare benign mesenchymal neoplasm. Scrotal myxomas can be either cutaneous or intramuscular. Muscular myxomas are usually found in cardiac muscles and skeletal muscles of the extremities. The most common locations of cutaneous myxomas are the trunk, lower extremities, and the head and neck. However, these lesions can rarely arise in the genital area (vulva, mons pubis, and scrotum). The clinical presentation of this lesion is nonspecific, and it is difficult to make a diagnosis before a biopsy and microscopic examination. Scrotal myxomas are infrequent and can cause definite diagnostic problems.  We report a case of a 64-year-old male who presented to the surgery outpatient department with a history of scrotal swelling for 20 years. The swelling was excised and sent for histopathological examination. Histopathological examination revealed features of scrotal cutaneous myxoma.