D. Mazzoni, J. Muir
Genital skin lesions have long been a challenge in medical practice as patients may delay presentation to clinicians due to psychosocial reasons, and management is often delayed by clinicians due to under-investigation and lack of familiarity. We report the case of a 60-year-old man who presented to a Queensland dermatology practice for evaluation of an asymptomatic longstanding penile lesion. On examination, a non-tender scaly keratotic plaque was found at the base of the glans penis. A shave biopsy demonstrated features consistent with a verrucous carci- noma of the penis. Verrucous carcinoma is a rare variant of SCC, accounts for 3–8% of penile carcinomas, and has been reported to occur anywhere in the oral cavity, neck, and genitalia. This case highlights the importance of prompt and appropriate biopsy in genital lesions when there is any suspicion of malignancy, particularly in delayed presentations, to establish the diagnosis and pre- vent further spread and complications.