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.
The biopsy shows papillomatosis with hyperkeratosis, acanthosis, koilocytes and proliferations of capillaries in the papillary dermis. There is no atypia.
You remember that there are no HPV tests recommended for men.
There are no visible intra-anal lesions. Cytology is unremarkable.
The VDRL test is nonreactive.