Pseudoepitheliomatous keratotic and micaceous balanitis (PKMB) is really an unheard of premalignant disorder affecting elderly males and targets the glans penis using a doable progression to verrucous carcinoma or invasive squamous mobile carcinoma (SCC).
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The medical course is usually indolent and protracted, with lots of sufferers failing topical therapy and Other individuals requiring recurring excisions. Occasionally, sufferers ended up followed for many years with gradual progression of their sickness (Go through & Abell, 1981).
The study course of procedure depends upon the stage in the lesion; topical therapy is necessary for the early plaque stage, although far more aggressive therapy is required for your Sophisticated stages.[two] When there isn't a histological sign of cancer, cryotherapy and topical five-flourouracil are definitely the recommended courses of treatment.
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[1] Even though the etiology of PKMB is perplexing, it is generally viewed while in the elderly male population. It has a possible to evolve into squamous mobile carcinoma and verrucous carcinoma almost never.[two] Herein, we report a case of PKMB presenting as various cutaneous horny growths in an adult male.
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Lichen planus. It is a pores and skin problem that causes a rash to establish on a number of parts of One's body.
When you have foreskin, the most common explanation for balanitis is occasionally cleaning your penis and below your foreskin. Other leads to consist of:
Balanitis therapy depends on its cause, but regularly washing and comprehensively drying your penis is frequently The obvious way to handle and prevent the affliction.
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Pores and skin biopsies in the afflicted location might help clarify the analysis of PKMB, as clinical appearances may possibly mimic other conditions.
Relapse adhering to professional medical and surgical therapy just isn't rare. Occasionally, the problem may well progress to verrucous carcinoma over here or squamous cell carcinoma. These associations warrant near scientific surveillance for malignant transformation.
PKMB is often a dysfunction of your glans penis influencing predominantly aged males. This is a rare case of PKMB occurring in a young male. The patient was successfully treated with topical liquid nitrogen.