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Hi! I hope I can answer your query. I am not sure how many lesions you have but what I understand is that you have one main lesion which is painful and other smaller lesions of the same type which are not painful: Quoting you “After that I seen another doctor who said could be a wart and froze that and some other lesion on my penis.---------- The other dermatologist to my the tiny bumos on my shaft where normal the other lesion was called clerosing lymphangitis” If you are 16 years old then the bumps could be pearly white papules. Though the name suggests that they are white most are flesh colored. They are small lumps of roughly the same size and shape. They are in a row around the margin of the head of the penis and can be seen when the foreskin is pulled back. Also these can be present along the shaft and base of penis. They disappear with age and need no treatment. They should not be pricked as they can get infected this way. This could have happened in your case when you squeezed it or pricked it. The lumps could also be Fordyce spots. These are dilated blood vessels covered with skin and can heal on their own. If they persist they can be treated by CO2 laser diathermy electro desiccation (using current) chemical peels (temporary treatment) or laser vaporization. The third possibility is blocked sebaceous glands. These too often open up on their own. At times may need drainage. These can get infected too. So one of the blocked glands probably got infected in your case. Since you feel that the skin of penis is very oily this possibility should be looked into. Regarding your feeling that it can be a cyst: Penile cysts are not common except may be sebaceous cysts. Other possibilities are mucoid cysts and epidermoid cysts (follicular cysts). Cysts become painful when they become tense or press on a nerve or become infected. They can be diagnosed clinically or by biopsy. Ultrasound can also help diagnose a cystic swelling. In your case follicular cysts is a likely diagnosis with one of them becoming infected. Since there is no itch fungal infection STD or skin conditions like eczema psoriasis lichen planus etc are less likely. Yes biopsy may help diagnose the condition (Fordyce spots sebaceous cysts other cysts an abscess hair follicle infection etc). Also skin scrapings can be taken. You probably had a complete STD panel. As of today there is no confirmatory test for HPV in men. Diagnosis is generally by identifying warts on the private parts. Multiple raised lesions can also be Bowenoid papulosis which a HPV related localized cancer like condition. Biopsy can diagnose this. Imiquimod is an immune modulator and can treat many skin conditions including warts. There is no harm in applying this on the lesions. If there is no response then you can follow up with the doctor regarding biopsy. I sincerely hope you will find this information useful. Good Luck and take care!

2014-12-12 04:08:14

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