[43M] Inquiry about long-standing skin spot treatment

Patient Description

A 43-year-old male has a skin-colored spot about the size of the tip of a pinky finger, present for 15 years without any changes in size, color, or texture. The spot is mostly smooth with some indentations and has never caused discomfort or shown any signs of bleeding or scaling. The patient has not had it evaluated by a healthcare professional but has used a product called 'Freeze Away' for treatment. The patient reports no other symptoms, no known allergies, no pre-existing conditions, and is not on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the spot on your penis could be one of the following:

  • Fordyce Spots: These are small, painless, raised, pale or white spots or bumps 1 to 3 mm in diameter that may appear on the shaft of the penis. They are common and harmless, and are not sexually transmitted.

    • Treatment is usually not necessary, but if you are concerned about the appearance, consult a doctor for options.
  • Pearly Penile Papules: These are small, skin-colored bumps that appear around the edge of the head of the penis. They are also common and harmless, and are not sexually transmitted.

    • Treatment is usually not necessary, but if you are concerned about the appearance, consult a doctor for options.
  • Genital Warts: These are small, skin-colored or darker bumps that appear on the genital area. They are caused by certain types of the human papillomavirus (HPV). They may cause discomfort, but not always.

    • Treatment involves medication or surgery to remove the warts. A vaccine is available to prevent certain types of HPV.
  • Molluscum Contagiosum: This is a skin infection caused by the molluscum contagiosum virus. It produces benign raised bumps, or lesions, on the upper layers of your skin.

    • Treatment can involve creams, laser therapy, or minor surgical procedures.
  • Skin Cancer: Although it is rare, skin cancer can occur on the penis. However, given that your spot has not changed in 15 years, this is less likely.

What you can do

  1. Stop using the salicylic acid product. This is typically used for warts and may not be appropriate for your spot. It can also cause skin irritation and damage if used incorrectly.
  2. Schedule an appointment with a healthcare provider for an evaluation. They can provide a more accurate diagnosis and treatment plan.
  3. Practice good hygiene and monitor the spot for any changes.

What you should look out for

  • Any changes in the spot, such as growth, color change, or the development of new symptoms like pain or itching.
  • The development of similar spots elsewhere on your body.
  • Any signs of infection, such as redness, swelling, or pus.

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are Fordyce spots and are they harmful?

Fordyce spots are small, painless, raised, pale or white spots that can appear on the shaft of the penis. They are common, harmless, and not sexually transmitted. Treatment is usually not necessary unless for cosmetic reasons.


How can I differentiate between pearly penile papules and genital warts?

Pearly penile papules are small, skin-colored bumps that appear around the edge of the head of the penis and are harmless. Genital warts, caused by HPV, can be skin-colored or darker and may appear anywhere on the genital area. They may cause discomfort and require treatment.


Is it necessary to treat molluscum contagiosum, and what are the treatment options?

Molluscum contagiosum is a skin infection that causes benign raised bumps. Treatment is not always necessary as it can resolve on its own, but options include creams, laser therapy, or minor surgical procedures if desired or if the lesions are bothersome.


What signs should I look for to determine if a skin spot might be cancerous?

Signs that a skin spot might be cancerous include changes in size, color, or texture, the development of new symptoms like pain or itching, and any signs of infection such as redness, swelling, or pus. It's important to consult a healthcare provider for an evaluation if any of these changes occur.


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