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Condyloma Acuminata : Clinical

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Clinical Appearance: Genital condyloma acuminata in males occur as soft, fleshy, cauliflower-like or papillary exophytic masses or as filiform plaques on corona of glans penis, urethral meatus, fossa navicularis, penile shaft, or scrotal skin. Large or extensive lesions around meatus may extend proximally with formation of urethral or bladder condylomata.

When involving vulva, the lesions may be bulky, soft and macerated, with extension into the introitus. Both sexes may show lesions in perineum and anal region. They may be single or occur in clusters over large areas of skin or mucosa. Patients may develop anal bleeding, pain, or itching.

This image shows a bisected genital condyloma acuminatum with cauliflower-like, papillary architecture.
Image courtesy of: Dr. Vijay Shankar S, Professor of Pathology, Bengaluru, India.

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