Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current Issue
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
Images in Dermatology
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters in Response to Previous Publication
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Media and news
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Images
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Reviewers 2022
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Snippets
Special Article
Specialty Interface
Studies
Study Letter
Study Letters
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Systematic Review and Meta-Analysis
Systematic Reviews and Meta-analyses
Systematic Reviews and Meta-analysis
Tables
Technology
Therapeutic Guideline-IADVL
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
Therapy Letters
View Point
Viewpoint
What’s new in Dermatology
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current Issue
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
Images in Dermatology
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters in Response to Previous Publication
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Media and news
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Images
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Reviewers 2022
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Snippets
Special Article
Specialty Interface
Studies
Study Letter
Study Letters
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Systematic Review and Meta-Analysis
Systematic Reviews and Meta-analyses
Systematic Reviews and Meta-analysis
Tables
Technology
Therapeutic Guideline-IADVL
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
Therapy Letters
View Point
Viewpoint
What’s new in Dermatology
View/Download PDF

Translate this page into:

Net Quiz
2011:77:3;404-404
doi: 10.4103/0378-6323.79747
PMID: 21508599

Multiple brownish papules on the penile shaft

Huang Ching-Fu, Wang Wei-Ming, Wu Bai-Yao
 Department of Dermatology, Tri-Service General Hospital, Taipei, Taiwan, China

Correspondence Address:
Wu Bai-Yao
Department of Dermatology, Tri-Service General Hospital, No. 325, Sec. 2, Chenggong Road, Neihu Dist., Taipei City 114, Taiwan
China
How to cite this article:
Ching-Fu H, Wei-Ming W, Bai-Yao W. Multiple brownish papules on the penile shaft. Indian J Dermatol Venereol Leprol 2011;77:404
Copyright: (C)2011 Indian Journal of Dermatology, Venereology, and Leprology

A 27-year-old man presented with a 2-month history of multiple asymptomatic skin lesions on the penile shaft. He was concerned about having a sexually transmitted disease. The general condition of the patient was good. He had no history of sexual exposure and no similar lesions were found in other family members. A physical examination revealed numerous, discrete, brownish papules with a smooth surface on the dorsal and lateral penile shaft [Figure - 1]. Ten papules were over the lesional site, and the diameter of these papules ranged from 1 mm to 3 mm. Examination of the rest of his body was unremarkable. The working diagnosis of bowenoid papulosis was considered, and a biopsy sample was obtained from one papule on the dorsal penile shaft [Figure - 1] for histological examination.

Figure 1: Multiple asymptomatic brown-yellow papules on the dorsal penile shaft

Histopathologically, the epidermis showed mild acanthosis with basal hyperpigmentation [Figure - 2] and comma-shaped (tadpole-shaped) structures originating from ducts dispersed within a sclerotic stroma. The ducts were lined by two or more epithelial cell layers [Figure - 3].

Figure 2: Epidermal basal hyperpigmentation. There are some cystic ducts with a tadpole-like appearance in a fibrotic stroma (H and E, ×100)
Figure 3: The ductal structure is composed of two layers of epithelial cells (H and E, ×200)

What is your Diagnosis?

Diagnosis

Eruptive penile syringoma.

Discussion

Syringoma is a common benign tumor of eccrine origin with a limited proliferative capacity. [1] Friedman et al.[2] classified four variants as a localized form, familial form, generalized form and a form associated with Down syndrome. Syringoma is more common in adolescent girls during puberty. The lesions usually localize on the lower eyelid, although the upper cheek, upper chest, axilla, abdomen and vulva are also common sites. Involvement of the penis is rare, and only a few cases have been reported.

Clinically, syringoma on the penis usually presents as numerous, asymptomatic flesh-colored or yellow-brown papules measuring 1-3 mm in diameter. [3] The involved area is usually located on the back and lateral surface of the shaft of the penis, and patients in early adult life or at puberty are affected most often. Because of the location, patients are usually distressed by the cosmetic effect and become concerned about its relationship with sexually transmitted disease. [4] The differential diagnosis of penile syringoma includes bowenoid papulosis, condyloma, lichen planus and genital warts. [3],[4] A skin biopsy to confirm the diagnosis is necessary when the lesions are resistant to treatment. Histopathologically, the characteristic finding is dermal proliferation of a double-layer cystic structure in a fibrous stroma. The structure presents as a comma- or tadpole-like appearance on sectioning.

In penile syringoma, treatment is usually unnecessary except for cosmetic reasons. Eliminating the lesions by surgical excision, cryotherapy with liquid nitrogen, electrodessication and curettage or carbon dioxide laser are the current treatment options. [4] However, recurrence and scarring can be bothersome after these treatments. Park et al.[5] tried a multiple-drilling method using a CO 2 laser to treat 11 patients with syringoma, and all patients had good clinical results without complications. Another report suggested that treatment with an intralesional insulated needle connected to an electrocoagulator may be a good therapeutic choice for a syringoma. [6] In conclusion, although eruptive penile syringoma is a rare condition, it should be added to the differential diagnosis of penile papules. Providing a definite diagnosis that is confirmed by histological examination may help patients avoid unnecessary aggressive treatment.

References
1.
Hertl-Yazdi M, Niedermeier A, Hörster S, Krause W. Penile syringoma in a 14-year-old boy. Eur J Dermatol 2006;16:314-5.
[Google Scholar]
2.
Friedman SJ, Butler DF. Syringoma presenting as milia. J Am Acad Dermatol 1987;16:310-4.
[Google Scholar]
3.
Cassarino DS, Keahey TM, Stern JB. Puzzling penile papules. Int J Dermatol 2003;42:954-6.
[Google Scholar]
4.
Olson JM, Robles DT, Argenyi ZB, Kirby P, Olerud JE. Multiple penile syringomas. J Am Acad Dermatol 2008;59:S46-7.
[Google Scholar]
5.
Park HJ, Lee DY, Lee JH, Yang JM, Lee ES, Kim WS. The treatment of syrigomas by CO2 laser using a multiple drilling method. Dermatol Surg 2007;33:310-3.
[Google Scholar]
6.
Hong SK, Lee HJ, Cho SH, Seo JK, Lee D, Sung HS. Syringomas treated by intralesional insulated needles without epidermal damage. Ann Dermatol 2010;22:367-9.
[Google Scholar]

Fulltext Views
19,497

PDF downloads
2,122
Show Sections