Received 5 December 2008; accepted 21 January 2009. published online 10 April 2009.
A 56-year-old man presented with a “nail” growing at the base of his glans penis. The tumor was locally excised, and microscopic examination revealed papillomatosis and hyperkeratosis of the malpighian epithelium, with a strong inflammatory reaction of the chorion and signs of local microinvasion, as well as the presence of well-differentiated squamous epithelial cells. The surgical margins were negative. The differential diagnosis was made between a benign papillomatous proliferation and verrucous carcinoma.
Department of Urology, University Hospital, Lausanne, Switzerland
Reprint requests: Cedric Treuthardt, M.D., Department of Urology, University Hospital, Bugnon 46, Lausanne 1011 Switzerland