A 46-year-old Caucasian heterosexual male was referred to a dedicated AIN clinic from colorectal multidisciplinary meeting (MDM) with AIN 3 following complete resection of anal squamous cell carcinoma (SCC). On further questioning, he revealed that he also had a lesion on his penis. Histology of the penile lesion demonstrated full thickness penile intraepithelial neoplasia (PIN 3). This case illustrates the importance of thorough genital examination in patients found to have one genital pathology.
NganV. Penile intraepithelial neoplasia. Dermnetz2010. See http://www.dermnetnz.org/site-age-specific/penile-intraepithelial-neoplasia.html (last checked 24 March 2011)
3.
British Association for Sexual Health and HIV. United Kingdom National Guideline on Management of Anogenital Warts. London: BASHH, 2007. See http://www.bashh.org/documents/86/86.pdf (last checked 24 March 2011)
4.
PorterWM, FrancisN, HawkinsD, DinneenM, BunkerCB. Penile intraepithelial neoplasia: clinical spectrum and treatment of 35 cases. Br J Dermatol2002;147:1159–65
5.
MarkosAR. The management of penile intraepithelial neoplasia in genitourinary medicine. Int J STD AIDS2003;14:314–19
6.
HennaJ, NarouzN, WadeAAH, AllanPS. Penile intraepithelial neoplasia- A veiled lesion in genitourinary medicine. Sex Transm Inf1999;75:435–36
7.
GrossG, PfisterH. Role of human papillomavirus in penile cancer, penile intraepithelial squamous cell neoplasias and in genital warts. Med Microbiol Immunol2004;193:35–44
