A five year study on differential diagnosis of verruciform penile lesions

Background: Verruccous lesions of the penis are difficult to classify. Materials and methods: The present study included 60 verruccous lesions of the penis in a period of 5 years, at Kakatiya Medical College, Warangal. Ours was a prospective study of 5 years duration. Results: In our study the age group ranges from 30 years to 80 years. Majority of the lesions were observed between 60-69 years age group. Warty lesions constituted 40 (66.7%), Cauliflower like growths constituted 14 (23.3%), and diffusely infiltrating constituted 6 (10%). Histopathological examination findings showed out of 60, 24 biopsies diagnosed as condyloma accuminata, 9 as simple verruccous hyperplasia, and remaining 27 are diagnosed as carcinomas out of which verruccous carcinoma were 12 followed by condylomatous carcinoma and papillary carcinomas each 6, squamous cell carcinomas were 3 in number. Conclusion: Each and every grossly visible verruccous lesions of the penis should be adequately biopsied for the early diagnosis of carcinoma.