Clinical Presentation of Genital Warts2728 General

• Appear as rough, thick, cauliflower-like lesions

Signs

• Black dots within warts

• Disrupted surface Symptoms

• Anogenital pruritus

• Vaginal discharge or bleeding

• Although rare, dyspareunia may occur with vulvovaginal condyloma

• Tissue biopsy or viral typing is only indicated if diagnosis is uncertain and is not recommended for patients with routine or typical lesions.

• Since HPV is highly associated with cervical cancer and since there are more than 20 different cancer-associated HPV types, patients who are diagnosed with HPV should be tested for cervical cancer.

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