Human papillomavirus

Growing 2

Step 1: View clinicals

A 40 year old heterosexual man complains of an abnormal growth on his penis for the last few months. He is otherwise asymptomatic. He denies a history of previous sexually transmitted infections, but has had several sexual partners over the last few years.


Step 2: Order all relevant investigations

Biopsy Lesion

The biopsy shows papillomatosis with hyperkeratosis, acanthosis, koilocytes and proliferations of capillaries in the papillary dermis. There is no atypia.

HPV DNA Test

You remember that there are no HPV tests recommended for men.

Anoscopy + Cytology

There are no visible intra-anal lesions. Cytology is unremarkable.

VDRL Test

The VDRL test is nonreactive.


Step 3: Select appropriate management

Penicillin
Cryotherapy
Circumcision
Acyclovir


Score: ★★☆