Clinic for evaluation of painless nodule

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Reference no: EM133749013

Question

A 65-year-old man with no significant past medical history presents to the clinic for an evaluation of a painless nodule on his penis that has been present for 1 month, and which has increased in size. He denies any itching, bleeding, skin rash, vesicles, or ulceration associated with the mass. He denies any irritative voiding symptoms or penile discharge. He denies a history of sexually transmitted infections or risky sexual behavior and reports being in a monogamous relationship with his wife for the last 35 years. Physical examination reveals an uncircumcised male with a nontender, firm, 0.5-cm tan-colored mass on the glans penis. No erythema, edema, ulceration, or regional lymphadenopathy are noted. What is the most likely diagnosis? Penile cancer Genital herpes Balanitis Primary syphilis.

Reference no: EM133749013

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