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Noninfectious penile lesions.

Joel M H Teichman¹, Jason Sea, Ian M Thompson

¹Department of Urologic Sciences, University of British Columbia, Vancouver, British Columbia, Canada.

American Family Physician

|January 20, 2010

Summary

This summary is machine-generated.

Family physicians manage penile lesions, distinguishing inflammatory conditions like psoriasis from neoplastic ones like squamous cell carcinoma. Early diagnosis and appropriate management, including biopsy when needed, are crucial for effective treatment.

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Area of Science:

Dermatology
Urology
Family Medicine

Background:

Penile cutaneous lesions are frequently encountered by family physicians.
Noninfectious lesions include inflammatory (e.g., psoriasis, lichen sclerosus) and neoplastic types (e.g., carcinoma in situ, squamous cell carcinoma).

Purpose of the Study:

To outline the diagnostic approach to noninfectious penile cutaneous lesions.
To differentiate between benign and potentially malignant penile lesions based on clinical presentation.

Main Methods:

Review of clinical presentations and diagnostic features of various penile lesions.
Emphasis on visual inspection and palpation to guide diagnosis.

Main Results:

Psoriasis: red plaques with scales. Lichen sclerosus: hypopigmented, phimotic prepuce. Angiokeratomas: red/blue papules. Lichen nitidus: hypopigmented papules. Lichen planus: pruritic, violaceous papules.
Carcinoma in situ: velvety red/keratotic plaques. Invasive squamous cell carcinoma: painless lump, ulcer, or fungating mass.
Benign lesions can mimic malignancy, necessitating careful evaluation.

Conclusions:

Clinical appearance is key in diagnosing penile lesions.
Biopsy is essential when neoplasm is suspected or diagnosis is uncertain.
Management ranges from observation/topical corticosteroids for benign lesions to surgery for neoplastic conditions.