Man with characteristic penis projections

A 41-year-old man complains of soft, raised, flesh-colored growths or projections on his glans penis,prepuce, and penile shaft. Several excisional biopsies are done to look for malignancy.the most likely diagnosis is?
  • a.Genital herpes
  • b.Condyloma acuminatum
  • c.Molluscum contagiosum
  • d.Condylomata lata
  • e.Peyronie’s disease

 The answer is:  ( b ).
The lesions of condyloma acuminatum or venereal warts are soft, flesh-colored (may also be pink or red) growths or projections that are found on various parts of the penis. The etiologic agent is human papilloma virus (HPV), which is associated with dysplasia (i.e., squamous cell carcinoma of the cervix, penis, anus, vagina, and vulva). Warts are sexually transmitted " it is the most common sexually transmitted disease in the United States " with an incubation period of 1–6 months.

Condylomata lata are the soft, flat-topped, moist, pale nodules and papules of secondary syphilis that appear 2–6 months after the primary chancre. These contagious lesions may be seen anywhere on the body, including the palms and soles. Peyronie’s disease is unilateral deviation of the penis caused by a fibrous band in the corpus cavernosum. It results in deviation (and often pain) of the penis during erection. Genital herpes is a sexually transmitted disease characterized by a painful group of vesicles on an erythematous base.

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