Intrascrotal and testicular masses in the pediatric population do not
usually present as treatment dilemmas. Herein, we report an unusual ca
se of an enlarging, intrascrotal capillary hemangioendothelioma in a 3
-month-old male infant. Conservative management including watchful wai
ting in the case of purely cutaneous scrotal hemangiomas is the treatm
ent of choice. However, scrotal lesions with a palpable testicular or
scrotal mass do not lend themselves to conservative treatment and, as
in this case, exploration with intraoperative evaluation and excision
is warranted. (C) 1997, Elsevier Science Inc. All rights reserved.