I had a bump on my penis which my GP in the UK said could be a wart and wasnt sure and told me to go see a sexual health clinic, I then visited two clinics and the nurse there said it did not look like a wart and said it is possibly a cyst or molluscum.
The second nurse checked the lesion with a light and said it does not appear or behave like a wart and then ensured me it was a variation of molluscum.
A few days after the freezing the skin around it turned black and swelled up as shown in the pic, this slowly dissapeared and the lesion went away.
Does this sound like a molluscum/wart or a cyst, and would the diagnosis of it not being a wart be correct?
I have attached 3 photos of the lesion, since then it has now become pink and is healing
I would appreciate your opinion
Thanks for the query to ATD for an opinion,
This was indeed a verrucae wart and not a molluscum variation simply because it was skin coloured and had frayed borders typical of a verrucae wart and also it was an isolated lesion. Molluscum is usually a smooth bump which is shiny and not skin coloured and most often with a dimple or depression in the centre and moreover it rarely manifests as a singular isolated lesion.
The typical swelling of the lesion and turning darker is more indicative of a wart with increased keratinization and melanin deposition, unlike a molluscum. Cryotherapy has been rightly advocated and applied. The third picture depicts a healthy granulation tissue at the base of the lesion after the lesion has freeze died and shed off. The best form of diagnosis would have been a punch biopsy earlier and then histopathologic examination which would have given a definitive diagnosis.
However, the treatment for both wart and molluscum remains cryotherapy or laser and hence as seen by the healing lesion, which appears healthy at base, you stand treated and the lesion shall completely heal in a week or so.
I hope I have answered your query in detail,
Wishing you speedy recovery,
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