A 70-year-old man presented with a slowly enlarging glans penis lesion measuring approximately 3 x 2 x 2 cm. On examination, the lesion was indurated with no induration of the glans penis deep to the lesion. He had no palpable lymphadenopathy. A glans sparing surgical excision was performed. Pathology demonstrated a squamoproliferative lesion with hyperkeratosis, and deep margin biopsy demonstrated no carcinoma. Cutaneous penile horns are hyperkeratotic lesions and may be associated with synchronous or metachronous squamous cell carcinoma. Surgical excision remains the mainstay of treatment, and follow-up physical examinations to assess for metachronous penile carcinoma are recommended. (C) 2015 Elsevier Inc.
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机译:一名70岁的男子出现了缓慢扩大的龟头阴茎病变,约3 x 2 x 2厘米。经检查,病变硬结,而龟头深处的龟头没有硬结。他没有明显的淋巴结肿大。进行了不需手术切除的龟头。病理显示鳞状增生性病变伴过度角化,深切缘活检未见癌变。阴茎角质是角化过度的病变,可能与同步或异时鳞状细胞癌有关。手术切除仍然是治疗的主要手段,建议进行后续体检以评估异时性阴茎癌。 (C)2015爱思唯尔公司
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