PMC10416791_01
Physical examination revealed dense monomorphic soft flesh-colored filiform papules over the entire glans with a "cobblestone" appearance.
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Physical examination revealed rows of monomorphic, soft flesh-colored filiform papules confluent over the entire glans with a "cobblestone" appearance accompanied by smaller papules in a linear arrangement on the corona (Figure 1).
Histopathologic manifestations of the lesions. (a) Histopathologic examination demonstrated polypoidal architecture with acanthosis and hyperkeratosis. Focally elongated rete ridges were noted. (HE, 40x). (b) The upper dermis featured an increase in small vessels with perivascular fibroplasia and increased dermal stellate-shaped fibroblasts with spindle- to triangular-shaped nuclei (HE 200x).
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Histopathologic examinations of shave biopsy specimens of the papules on the ventral glans demonstrated a polypoidal architecture with hyperkeratosis, acanthosis, and focally elongated rete ridges (Figure 2a). The upper dermis featured abundant small vessels with perivascular fibroplasia (Figure 2b).