Penile Tuberculosis Mimicking as Carcinoma in a 56-year-old Male - A Case Report

Penile tuberculosis is an extremely rare clinical condition. It can either be secondary (infection spreading from other organs) or primary (local spread). Reports have demonstrated its presentation as a subcutaneous nodule with or without superficial ulceration which may be clinically interpreted as advanced cancer of the penis. A 56-year-old man from New Delhi area, India presented to a tertiary care hospital with a history of unhealing growth/lesion over the penile shaft and glans for over 6 months. The lesion originally started as a small ulcer on the dorsal aspect of the glans penis which enlarged progressively. A biopsy, followed by a wedge biopsy was performed but the results were inconclusive. The patient was then subjected to partial penectomy after proper counselling. The histopathology from the partial penectomy specimen suggested signs of tubercular granuloma. The patient was advised antitubercular treatment (ATT) and he then reported to our tertiary care centre for treatment initiation. Treatment was completed successfully with no sign of any recurrence.