Granulomatous Scrotal Lesion Suspicious of Malignancy: Likely due to Chronic Leak from Silicone Testicular Prosthesis

We report a rare case of granulomatous scrotal lesion, suspected of malignancy, likely due to chronic leak from silicone testicular prosthesis with intact prosthesis fibrous capsule. US and MRI are important for evaluating implant integrity, however, in our case neither modality demonstrated the typical signs, and we were unable to confirm the nature of the scrotal lesion until scrotal exploration and removal of the deformed prosthesis was performed.