A 28-year-old woman presents to her family physician complaining that she has a “growth” in her genital area. She states that she first noticed it 3 weeks ago and it seems to have grown somewhat since that time.
She has hypothyroidism, for which she takes thyroid hormone replacement. She has no other medical problems and has never had surgery. She has had 3 sexual partners over her lifetime and is currently involved in a monogamous relationship.
She has never had a sexually transmitted disease in the past. Examination demonstrates two nontender 6 mm well-circumscribed, flesh-colored, papillated, oval lesions on this structure as shown in image.
There is no ulceration, erythema, purulence, or inguinal lymphadenopathy. Which of the following is the most likely diagnosis
D. Squamous cell carcinoma
This patient, who presents with asymptomatic, well-circumscribed, benign-appearing, flesh-colored lesions in the genital area most likely hascondyloma acuminatum, or genital warts. These lesions result from contact with infected partners and represent a sexually transmitted disease.
Most of the time these lesions are benign, without carcinogenic potential except if they are associated with the cervix, where they are an important etiologic agent for cervical carcinoma