Disorders of the Genitalia, Perineum, and Anus
Figure 34-1. Pearly penile papules Pink (skin-colored), 1- to 2-mm papules are seen regularly spaced along the corona of the glans penis. These structures, which are part of the normal anatomy of the glans, are commonly mistaken for condylomata or molluscum contagiosum.
Figure 34-2. Sclerosing lymphangitis: penis A dermal cord on the distal shaft parallel to the corona.
Figure 34-3. (A, B) Chronic lymphedema: scrotum A 29-year-old male with history of recurrent scrotal infections that have destroyed lymphatic channels. There is scrotal noncompressible lymphedema and the penis is retracted.
Figure 34-4. Plasma cell balanitis Solitary red glistening plaque for 10 years in an uncircumcised male.
Figure 34-6. Paraphimosis The prepuce or foreskin has been retracted proximally over the glans and cannot be replaced to the normal position covering the glans. The shaft is edematous.
Figure 34-7. Genital lentiginoses: vulva Multiple, variegated dark brown macules, bilaterally on the labia minora. Acrolentiginous melanoma in situ must be ruled out.
Figure 34-8. Genital lentiginoses: penis Variegated macular pigmentation of the glans and foreskin for over 20 years. Biopsy ruled out melanoma and HVP-infection (SCCIS).