Diagnosis: Condyloma Acuminatum / Buschke and Loewenstein, Giant Condyloma Acuminatum / Wart, Anogenital / Carcinoma, Verrucous
Category: infections and infestations /
neoplasm, malignant

Comments: This 60 year old man had a 10 year history of slowly progressive giant condylomata acuminatum of the penis that spread to the inguinal area. These large confluent nodules, referred to as giant condylomata acuminata of Buschke and Loewenstein may evolve into verrucous carcinoma, a low grade variant of squamous cell carcinoma. A biopsy from the base of the largest lesion was pending.

Morphology: plaqulous (plaque / nodule / tumor)
Organization: confluent
Pattern: asymmetric / intertrigenous (creases) Color: brown
Body Site: groin / suprapubic area
genital / penis Age: 60 years
Gender: Male Image Year: 2002
Contributor: Chris Ha, MD First Published: November 28, 2002
Description: large confluent 1 cm to 8 cm hyperpigmented warty nodules

Image & content, Copyright Dermatlas, Johns Hopkins University.