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.
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:
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.
The etiology remains unclear. However, following may be some of the predisposing factors for development of Bowen Disease of the Glans Penis:
Diagnosis of EQ must be made via skin biopsy of the affected area showing signs of ulceration, bleeding, or papillomatous change.
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.
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: theestheticclinic.com/dr-rinky-kapoor.html
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