Erythroplasia of Queyrat
Erythroplasia Queyrat – Bowen Disease (Penis Cancer)
What is Erythroplasia of Queyrat?
Erythroplasia of Queyrat (EQ) is an uncommon carcinoma in situ that usually arises on the mucosa of the glans penis or prepuce as red, shiny, sharply demarcated velvety plaques. It is usually painless, and not itch. Erythroplasia of Queyrat usually occurs in uncircumcised men. The cause may be long-standing irritation of the penis under the foreskin. While not cancer itself, erythroplasia of Queyrat can become cancerous if left untreated. Removal of a tissue sample for examination under a microscope (biopsy) confirms the diagnosis. Excision of the affected area is usually curative. It is not infectious.
What are the signs & symptoms?
Individuals affected with Bowen Disease classically come up with a single or multiple, non healing lesions on the glans penis and/or adjacent mucosal epithelium.
The patient may come up with the following symptoms:
- Difficulty in retracting the foreskin
- Penile discharge
How does a lesion of Penile Cancer look like?
Solitary or multiple, painless when touched, slightly elevated, red papules and plaques on the glans penis and/or surrounding mucosal epithelium are observed in erythroplasia of Queyrat. Often times, the inner surface of the foreskin may be involved. These plaques may appear scaly, crusty, smooth, velvety, or verrucous.
What are the causes?
The etiology remains unclear. However, following may be some of the predisposing factors for development of Bowen Disease of the Glans Penis:
- Lack of circumcision
- Immunosuppression (eg. HIV infection)
- Multiple sexual partners
- Social/cultural habits, hygiene, religious practices
- Chronic irritation, inflammation, or infection: inclusive of trauma, urine, smegma, heat, friction, herpes simplex viral infection, bacteria
- Human Papillomavirus infection (HPV)
How is it diagnosed?
Diagnosis of EQ must be made via skin biopsy of the affected area showing signs of ulceration, bleeding, or papillomatous change.
What is the treatment?
Treatment of Erythroplasia of Queyrat often involves removal or destruction of the lesion. Methods employed include cryotherapy, laser ablation, and surgical excision. Also, Mohs micrographic surgery has been used in the treatment of erythroplasia of Queyrat.
Selected cases of EQ have been treated successfully using 5-fluorouracil. Other treatment methods include Radiation therapy, Electrodessication and curettage, Laser ablation therapy using Carbon dioxide and Nd: YAG lasers, Photodynamic therapy etc.
Circumcision is the most recommended treatment.
How much would the treatment for EQ cost?
The expenditure for the treatment will vary depending upon the type of treatment chosen. Surgical removal and treatment with Laser Therapy would cost a bit higher as compared to medical treatment with 5-fluorouracil. In general, the consultation with Dr. Rinky Kapoor is chargeable at INR 1000/-. Follow ups are recommended with a Dermatologist and a Urologist in the patients who are treated medically or surgically.
For more information on Dr. Rinky Kapoor’s work, click on:www.theestheticclinic.com/dr-rinky-kapoor.html
The Esthetic Clinic is a world class center dedicated to skin care and plastic surgery of the entire body – and specializes in housing an experienced Dermatologist, Dr. Rinky Kapoor, who can provide world class Skin Treatments, for skin diseases and make your skin look beautiful. So if you want to go ahead and get your hair, skin, and nails treated, The Esthetic Clinic is the best place for you.
About Dr. Rinky Kapoor
Dr. Rinky Kapoor, Co-founder of The Esthetic Clinic, is one of the best dermatologists in the world & currently practices in Mumbai, India. Dr. Rinky Kapoor is a Consultant Cosmetic Dermatologist, Cosmetologist & Trichologist at S L Raheja Fortis Hospital, Mumbai, India. Dr. Kapoor is trained at the National Skin Centre, Singapore & at Stanford University, USA. A celebrity skin doctor, Dr. Rinky Kapoor has won many honors such as “Best Dermatologist Mumbai”, “Top 10 Cosmetologist India”, etc for her evidence based expert dermatology care, affordable & reliable skin care, hair care & nail care …Read more
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