Pleomorphic sarcoma, not otherwise specified, of scrotum mimicking Fournier's gangrene

Pleomorphic sarcoma, not otherwise specified/undifferentiated pleomorphic sarcoma (UPS) is one of the most common sarcomas occurring between the ages of 50 and 70 years. We present a case of a 50-year-old male with a paratesticular mass clinically diagnosed as Fournier's gangrene due to ulceration and necrosis of the overlying scrotal skin. Histopathological examination finally led to the diagnosis of UPS.