Giant verruciform tumour on the penis

This is verrucous xanthoma on the penis of a man in his 40s (fig 1).bmj;378/jul27_1/e069890/F1F1f1Fig 1The patient presented with a two month history of cauliflower‐like lesions on the glans penis and distal foreskin. He was an otherwise healthy, sexually active heterosexual man. Two skin punch biopsy samples showed epidermal hyperplasia with columnar incomplete keratosis, and foamy cells in the papillary dermis. Verrucous xanthoma was diagnosed.Test results for HIV and syphilis were negative, as was a DNA based test result for human papillomavirus of the lesion. The patient received cryotherapy once weekly for five weeks, with complete remission.Verrucous xanthoma is a rare benign disease that predominantly affects the oral cavity.1 Involvement of the glans penis is uncommon.1 The condition is easily misdiagnosed as condyloma or malignant tumour because of similar clinical features. Referral to a dermatologist followed by diagnosis on the basis of histopathology is important to avoid unnecessary investigations and…
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