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Sex Transm Infect 77:226 doi:10.1136/sti.77.3.226

Lichen sclerosus of the glans is significantly associated with penile carcinoma

Table 1

Clinical and histopathological features of eight cases of carcinoma on penile lichen sclerosus

Patient No Age of onset of PLS (years) Age of onset of Ca (years) Lag time (years) Site Clinical aspect of malignancy on PLS Histopathology PCR testing for HPV
*Previously reported cases.1
PLS = penile lichen sclerosus; Ca = carcinoma; PCR = polymerase chain reaction; HPV = human papillomavirus; SCC = squamous cell carcinoma; VC = verrucous carcinoma.
1* 41 62 21 glans fungating keratotic nodule with a white-yellowish hue SCC negative
well differentiated
2* 36 59 23 glans slightly elevated verrucous papules SCC HPV 16
well differentiated
3* 41 55 14 glans, coronary sulcus multiple erythematous, indurated, and ulcerated plaques SCC HPV 16
well differentiated
4* 39 49 10 glans, coronary sulcus, inner aspect of the foreskin sharply circumscribed, erythematous, eroded, oozing, and slightly infiltrated plaque In situ carcinoma HPV 16
5* 29 47 18 glans exophytic verrucous whitish nodule VC HPV 16
6 75 85 10 glans sharply circumscribed, erythematous, and ulcerated plaque SCC HPV 16
well differentiated
7 66 70 15 glans exophytic whitish and indurated plaque SCC negative
undifferentiated
8 33 67 34 glans, coronary sulcus sharply circumscribed, erythematous, eroded, crusted, and indurated plaque SCC negative
undifferentiated

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