Pseudoepitheliomatous Keratotic and Micaceous Balanitis PKMB

This is a rare condition, primarily affecting elderly, uncircumcised men. Its precise etiology is still unknown.55 Clinically, the foreskin loses its elasticity, and can become phimotic. Retraction usually reveals a solitary, well-circumscribed, hyperkeratotic lesion on the glans with a laminated (micaceous) appearance (Fig. 5.8). Occasionally the lesion may form into a keratotic mass and can behave more like a verrucous car-cinoma.51,56-58 The presence of a nodular component raises the possibility of malignant transformation into invasive SCC,57-59 although given the rarity of the condition, this risk is difficult to quantify.

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