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A Papillary Lesion on the Foreskin
Toby A. Chave, MRCP;
Sandeep Varma, MRCP;
Jennifer M. J. Logan, MRCP;
Peter J. A. Holt, FRCP
University Hospital of Wales, Cardiff
Arch Dermatol. 2001;137:815-820.
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REPORT OF A CASE
A 65-year-old man was referred with an ulcerating nodule on his foreskin. The nodule had started 3 months earlier as a small papule and had grown steadily. It was pruritic, and there had been some contact bleeding on washing. Micturition was unimpeded. His medical history included benign prostatic hypertrophy, hypertension, and type 2 diabetes mellitus, complicated by nephropathy, neuropathy, and retinopathy. His medications included amlodipine, glyburide, bendroflumethiazide, and finasteride. He had had an episode of epididymo-orchitis 2 years previously, but there was no history ofsexually transmitted disease.
Examination revealed a firm 20 x 15-mm papillomatous lesion on the inner aspect of the foreskin (Figure 1). There was no palpable inguinal lymphadenopathy, and the testes were normal. An incisional biopsy was performed to confirm the diagnosis, followed by formal excision of the . . . [Full Text of this Article]
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