Skin Growths on the Genitals: Are They Always Warts?

The growth has reappeared after the hospital examination?

Hello Doctor: About two years ago, I discovered a deep brown lesion approximately 5mm x 2mm at the base of my penis.
I thought it was a wart, so I went to the hospital to have it removed.
The biopsy report indicated that it was just inflammation and advised me not to worry.
However, the same area developed another lesion.
Now, two years have passed, and the new lesion is the same size as the one that appeared a year ago and has not changed in size.
I would like to ask, are all lesions on the genital area necessarily warts? I only have one and no additional lesions; could this be a wart?

Xiao Li, 30~39 year old female. Ask Date: 2013/04/02

Dr. Wu Yuxin reply Dermatology

It's not something to ask about; you need to see a doctor in person.
If the lesion is too small to be seen with the naked eye, a biopsy may still be necessary.

Reply Date: 2013/04/02

More Info

When it comes to skin growths on the genitals, it’s important to understand that not all growths are warts, specifically genital warts (also known as condyloma acuminata). The growths you are describing, particularly since they have been evaluated and found to be inflammatory rather than viral, suggest that there could be a variety of benign conditions at play.

Genital warts are caused by certain strains of the human papillomavirus (HPV), and they typically present as small, flesh-colored or gray growths that can appear in clusters. However, there are many other types of skin growths that can occur in the genital area, including seborrheic keratosis, skin tags, folliculitis, and other benign lesions. The fact that your growth was previously evaluated and deemed to be inflammatory is a good sign, as it indicates that it may not be a viral infection.

The growth you described measuring approximately 5mm x 2mm and being deep brown in color could be a seborrheic keratosis or another benign skin lesion. These types of lesions are common and can appear anywhere on the body, including the genital area. They are generally harmless and do not require treatment unless they become bothersome or for cosmetic reasons.

Since you mentioned that the growth has not changed in size over the past year, this is also a reassuring sign. Warts typically grow and can change in appearance, while benign lesions like seborrheic keratosis tend to remain stable once they have formed.

However, it is crucial to monitor any skin changes in the genital area closely. If you notice any changes in size, color, or texture, or if new growths appear, it is advisable to consult a healthcare professional for further evaluation. A dermatologist or a urologist can provide a more thorough examination and possibly perform a biopsy if there is any concern about the nature of the growth.

In terms of treatment, if the growth is confirmed to be benign and not causing any symptoms, treatment may not be necessary. However, if it is bothersome or if there is any uncertainty about its nature, removal can be considered.
In summary, not all skin growths on the genitals are warts. Given your previous evaluation and the stability of the growth, it is likely that you are dealing with a benign condition. Nevertheless, ongoing vigilance and consultation with a healthcare provider are essential for maintaining genital health and addressing any concerns that may arise.

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