PMC3730473_01
Keratotic, micaceous scaly lesion over the glans with meatal involvement
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F1
Examination revealed thick, non-tender, hard, keratotic yellowish plaques localized on the glans and partially obstructing the external urinary meatus, measuring about 2 cm x 1.5 cm in size with micaceous scaling and fissures at places [Figure 1].
Features of acanthosis, hyperkeratosis, parakeratosis with cellular atypia and abnormal mitosis (H and E, x 40)
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F2
Wedge biopsy from the glans revealed features of acanthosis, hyperkeratosis, parakeratosis with cellular atypia and abnormal mitosis suggestive of malignant transformation [Figure 2].
Post partial penectomy
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F3
A diagnosis of PKMB of Civatte with carcinoma in situ was made and the patient underwent a partial penectomy [Figure 3].