A sebaceous cyst is a benign encapsulated, subepidermal nodule filled with keratin material. They are mostly seen in areas with body hair such as the scalp, face, neck back, and scrotum. Having several sebaceous cysts on the scrotum is an uncommon occurrence, and if they become infected or look unsightly, they should be removed. Histologically, cysts are lined by stratified squamous epithelium and contain keratin debris and cholesterol. If the cysts are extremely swollen or infected, the entire scrotal wall must be removed, and the testicles should be covered. This is an unusual case where the patient had multiple painless nodules of varying sizes covering almost the entire scrotal skin. These were identified as sebaceous cysts and had been present for several months. All the cysts had to be removed in toto because of such an unusual presentation which was covering the entire scrotal skin.
Keywords: epidermoid cyst; excision; flap; fournier gangrene; sebaceous cyst.
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