Skin Lesions: Trusting Your Biopsy Results - Urology

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Cauliflower Concerns


Hello Doctor, a few days ago I noticed a white spot on my glans measuring 0.1 cm, and there is also a small growth near my scrotum, also 0.1 cm.
The next morning, I visited a dermatology clinic where the doctor suggested it might be a viral wart (condyloma), and proceeded with cryotherapy.
However, I was still concerned and decided to go to a larger hospital's dermatology department for a biopsy.
After anesthetizing the two areas, they excised the tissue for examination.
Today, the report came back stating that neither area is a viral wart (condyloma).
Can I trust the biopsy report from this hospital? What further actions should I take? Thank you.

A-Ming, 30~39 year old female. Ask Date: 2022/02/25

Dr. Du Shixi reply Urology


Hello: The report is the diagnosis from the pathologist.
I trust it completely.
Currently, we will observe for any new lesions and seek medical attention if necessary.
Wishing you good health.

Reply Date: 2022/02/25

More Info


When it comes to skin lesions, understanding the results of a biopsy can be crucial for your peace of mind and health management. In your case, you had two lesions—one on the glans and another near the scrotum—that were initially suspected to be viral warts (condylomas). After undergoing cryotherapy, you sought a second opinion through a biopsy, which confirmed that neither lesion was a viral wart.

Biopsy results from a reputable medical institution are generally considered reliable. Pathologists are trained to examine tissue samples under a microscope and can identify various cellular characteristics that distinguish between different types of lesions. In your case, the biopsy results indicate that the lesions are not viral warts, which is a positive outcome, as these can sometimes lead to further complications if left untreated.

However, it is essential to understand that while biopsy results are highly reliable, they are not infallible. There can be instances where the interpretation of the tissue sample may vary, especially if the lesions are atypical or if the sample is not representative of the entire lesion. If you have lingering concerns about the results or if the lesions change in appearance or symptoms, it is advisable to follow up with your dermatologist. They may recommend further monitoring or additional tests if necessary.

As for your next steps, since the biopsy has ruled out viral warts, you may not need any immediate treatment for the lesions unless they cause discomfort or change in appearance. It is essential to keep an eye on the areas for any changes and maintain good hygiene. If you notice any new symptoms, such as itching, bleeding, or an increase in size, you should return to your dermatologist for further evaluation.

In addition, if you have any concerns about the accuracy of the biopsy results, you might consider seeking a second opinion from another qualified dermatologist. Bringing your biopsy report and any relevant medical history will help the new physician provide a comprehensive assessment.

In summary, trust in the biopsy results from a reputable medical institution is generally warranted, but staying vigilant about your skin health is crucial. Regular check-ups with your dermatologist can help ensure that any new or changing lesions are appropriately evaluated and managed. Always feel empowered to ask questions and seek clarity about your health concerns, as proactive engagement in your healthcare can lead to better outcomes.

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