Pseudoepitheliomatous keratotic balanitis N48.1

Very rare balanitis with development of papillomatous and hyperkeratotic growths on the glans penis and the prepuce. Possibly pre- or pseudocarcinosis as a preliminary stage of a spinocellular verrucous carcinoma. In some cases detection of HPV.

Verrucous carcinoma of the penis: clearly consistency increased lesion, histology is diagnostic.

Condylomata acuminata: rather soft, verrucous growths.

Papillae coronae glandis: completely asymptomatic single or multi-row, white, papillary protrusions.

Electrocaustic (laser therapeutic) removal after bioptic control. Follow-up treatment with 5-fluorouracil (Kim JY ett al. 2019).

Alternative: excision of the foci with histological diagnosis

Alternative: generous excision by experienced surgeons.

Circumcision should be performed in a 2nd step. Circumcision alone is not sufficient.

Benign highly chronic course.

Post-op recurrences are not uncommon.

After a longer recurrent course (and resistance to therapy), danger of transition to an invasive verrucous carcinoma of the penis.

1. Kim JY ett al(2019) Surgical managements of pseudoepitheliomatous keratotic and micaceous balanitis:
   A case report. Int J Surg Case Rep 55:37-40.
2. Lortate Jacob E, civatte J (1961) Balanite pseuso-épithéliomateuse, kératosique et micacée. Bull Soc Fr Dermatol 68: 164-167