Epidermal cysts are the most common epithelial cysts usually with non malignant potential. These occur commonly in hair- bearing areas mostly on the scalp, also on the face, neck, back, and scrotum. Etiology is usually unknown. It can be seen commonly in individuals with history of significant Acne vulgaris. Multiple sebaceous cysts over the scrotum is a rare condition. Only eight cases of multiple epidermal cysts in scrotum have been reported so far from India in the past literature. This condition is usually asymptomatic and painless. It may turn painful if gets infected and often may be associated with discharge of pus. We present a rare case of multiple epidermal cysts of scrotum in a 36 year old patient which was managed with complete excision of the cysts done under local anesthesia followed by primary closure with better outcome in cosmesis taking care of not to jeopardize the vascular supply to local flaps and testis.

We present two cases of finger ring impaction. Both patients tried to remove it in rural hospitals before presenting to the burns and plastic unit of the University of Calabar Teaching Hospital. The male had the ring on the left index finger while the female had it on the left ring finger. The rings were removed by the use of circumferential cutaneous tissue infiltration (ring block) with plain lignocaine, strip of esmarch bandage exanguination of the finger, lubrication with K-Y jelly and then extraction.

Background: Reconstructions around inguinoscrotal region has been a challenging task owing to complex anatomy. There are variety of flap options available for reconstruction of Inguinoscrotal region. Our study was done to evaluate the use of pedicled anterolateral thigh flap for reconstruction of defects around inguinoscrotal regions. Methodology: In this study a total of 18 patients with various types of defects around inguinoscrotal region were evaluated. The etiology of defects included trauma (??=6), infection (??=8), malignancy (??=2) and burn (??=2). Patients were evaluated in terms of viability of the flap, number of perforators included, pedicled length and flap dimensions and donor site morbidity. Results: All flaps were survived well except 1 flap develop venous congestion in immediate post operative period due to tension over vascular pedicle which was managed by increasing pedicle length. 2 patients had developed partial loss of the skin graft at the donor site which got healed secondarily in due course. All patients were followed up for an average period of 6 months, ranging from 1 to 12 months. Donor site morbidity was minimal. Conclusion: Pedicled ALT flap is a versatile, reliable flap, with wide arc of rotation which makes it as an ideal flap for the coverage of defects around inguinoscrotal region.

We live with solar radiation from birth to death and have since the emergence of life on earth. Why then does skin cancer diagnosis remain so disturbingly high in Australia? Part of the problem is the majority of the population are of Northern European ancestry. Moving closer to the equator on mass we have carried with us a polymorphic melanocortin receptor gene on our melanocytes responsible for an incomplete tanning response. We attempt to protect ourselves with clothing and creams or remain indoors but this does not seem to be stemming the tide. Occupation, recreation or both drive us outside and into the sun. We need to be more successful at negotiating the potentially harmful effects by relooking at solar radiation and instead of focusing on the most harmful wavelengths look at the overall effect of the whole spectrum. We also need to re-examine our behaviour and exposure patterns. Prolonged periods indoors under artificial light punctuated with short bursts of intense irradiation is maladaptive. Creams aim to block the ultraviolet component, ignoring 90% of solar photons, the protective effect is incomplete, yet their use encourages more prolonged exposure. Protective behaviours are necessary for the most sensitive skin types but they are still at risk. For the rest of the population evolutionarily developed natural protective mechanisms can be employed. Regular moderate sun exposure, below the burn threshold, ideally aimed at early morning or late afternoon. Augmented with clothing, hats and creams with an appreciation of the incomplete protective effect of these measures.

Introduction: Schwannoma of the glans is a rare clinical entity. The diagnosis is histological. Treatment is surgical, with complete excision. The authors report this rare case encountered at the University Hospital of Libreville in order to identify its clinical and therapeutic characteristics. Observation: Mr. I.B, 50 years old, with no medical-surgical history, consulted for swelling of the glans evolving for 06 years, preventing coitus. He reported a notion of poor healing from an acorn sore after the trouser fly was closed. The diagnostic suspicion was a glans keloid. A complete resection was performed. Histologic examination favored a glans schwannoma. Healing was effective on D7 postoperatively. Erectile functions have been preserved. Conclusion: The glans schwannoma is rare. Surgical treatment gives good results.