Case records of the Massachusetts General Hospital. Case 2-2014. A 44-year-old man with a lesion on the penis.

A 44-year-old man was seen in the urology clinic because of a penile lesion that had been enlarging for 6 months. Examination and imaging revealed an ulcerated mass and enlarged inguinal lymph nodes. A diagnostic procedure was performed, and management decisions were made. Presentation of Case A 44-year-old man was seen in the urology clinic at this hospital because of a lesion on the penis. The patient had been in good health until 6 months earlier when, while visiting another country, a sports-related injury to his groin occurred, after which he noted a small, dark area on the distal penis and slight hematuria. The next day, he saw a physician at a local hospital who made a diagnosis of hematoma. The lesion persisted, and 2 months later, a small, firm nodule developed at the site. During the next 2.5 months, the nodule enlarged, ...