Red nodule on the scrotum

A 72-year-old man sought treatment for a red nodule on the scrotum that had gradually enlarged with pain over the course of 2 years.The nodule was pedunculated in shape, 10 3 20 3 15 mm in size, with a papillomatous surface (Fig 1). DERMATOSCOPIC APPEARANCEDermatoscopic examination revealed combination of white networks and red globules on most areas of the nodule.Elongated hairpin vessels and flower-like vessels were visible within the red globules.Yellow dots and debris were scattered over the lesion (Fig 2).Fig 1. Clinical image of verruciform xanthoma on the right scrotum.