Scrotal angular hemangiomas are mainly due to the invasion of residual embryonic blood vessels into adjacent tissues, which then form hemangiomas. Scrotal keratotic hemangioma mainly occurs in the scrotal area of middle-aged and elderly people, and often increases with age. There are multiple dome-shaped papules in the scrotum, with a diameter of 1~4mm. early stage damage is bright red, soft, and can be reduced by pressure. In the late stage, it is dark red or purple, hard, with mild warty hyperplasia. Scrotal angiomyolipoma is a congenital benign tumor or vascular malformation, consisting of a large number of proliferating blood vessels. If the symptoms are mild, observation and follow-up will be done first, with regular review. If the symptoms are severe, surgical treatment is required. It is recommended that the patient should consult the doctor in time and actively carry out the treatment, and should pay attention to protect the local wounds after the treatment to prevent secondary infection.