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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : 1137 - 31st October Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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50 Years old male.

Case Posted by Dr Richard Carr


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User Feedback


Verrucous carcinoma. Image 3 looks like BXO. Is the biopsy from the penis?

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Guest Romualdo

Posted

Agree: verrucous carcinoma associated with lichen sclerosus.

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Robledo F. Rocha

Posted

Hybrid penile carcinoma, mixed verrucous and warty (condylomatous) type. Lichen sclerosus is associated to the verrucous type and HPV-induced changes are associated to the warty (condylomatous) type.

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Dr. Richard Carr

Posted

Yes we reported this as verrucous carcinoma arising in lichen sclerosus / BXO (foreskin). I did not think there were any features to suggest HPV (I think the changes here are non-specific) and I believe p16 was negative too.
Enjoy Halloween! and your weekends.

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