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Penile Lesion

What Is This Penile Lesion?- Question

MANNY RODRIGUEZ, DO and GREGORY W. RUTECKI, MD

Dr Rodriguez is chief medical resident and Dr Rutecki is professor of medicine at the University of South Alabama College of Medicine in Mobile. Dr Rutecki is also a member of the editorial board of CONSULTANT.

Volume 51 - Issue 2 - February 2011

For 20 years, a lesion has been slowly growing on the penis of a 51-year-old man. He has noted bleeding and a foul-smelling discharge from the mass. Recently, the patient experienced a 30-lb weight loss. He has had 5 sex partners in his lifetime but has been monogamous for the past year. Physical examination reveals firm, fixed inguinal lymph nodes. A urology consultation is obtained, and biopsies are performed. An HIV test is also ordered.

 

Pending the biopsy results, what do you suspect?

 

 

 

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