Tip off about ulcer

Penile ulcers are often associated with sexually transmitted infections. A chancre of secondary syphilis or an ulcer of genital herpes needs to be considered. 

This ulcer has a raised rolled edge, is painless, and has been present for more than a month, which makes herpes simplex less likely. Tests such as VDRL should be checked, and in this patient the result was negative. 

Squamous cell carcinoma of the penis is not all that rare. It is usually painless and may have a rolled edge, as in this photo. It can also present as a red patch on the glans, looking like a candida infection. 

Most patients will have a past history of genital warts. This lesion requires a punch biopsy and surgical excision. 

Go to www.skinconsult.com.au for further discussion.