患者男，58岁，1年前偶然发现外生殖器龟头部一红色小结、无痛痒，逐渐增大。患者阴茎包皮过长，但能自翻，常有腥臭味。皮肤科检查，外生殖器阴茎冠状沟背侧可见一约3cm×3cm菜花样赘生物、色淡红、表面粗糙、触之渗血、伴有腥臭味，无触痛。问题1.根据病史、临床表现考虑什么 The patient male, 58 years old, accidentally discovered a red nodule, no itching, and gradually increased in the head of the external genitalia turtle 1 year ago. The patient’s penis is too long, but it can turn over, often with rancid odor. Dermatological examination shows that the dorsal side of the penis of the external genital penis is about 3cm x 3cm cauliflower, pale red, rough surface, touch bleeding, accompanied by stench, no tenderness. Question 1. What to consider based on medical history and clinical performance