Scrotal angiokeratoma is due to the invasion of residual embryonic blood vessels into adjacent tissues to form a hemangioma, which can be treated with follow-up observation, laser, and freezing. Scrotal angiokeratoma, also known as vascular malformation, is a congenital benign tumor. Since it is a benign tumor, it can be observed in the early stage if the symptoms are mild and the size of the hemangioma is relatively small. The most common type of angiokeratomas in the scrotum after adulthood are small tumors, about the size of a grain of rice to a soybean, which are disseminated. It has little effect on the state of health and can be treated with laser, freezing or electrocautery. After the appearance of scrotal angiokeratomas, patients need to actively consult the doctor for examination and treatment as soon as possible in accordance with medical advice.