1临床资料患者男,71岁,已婚,教师。包皮多发赘生物4月余。4个多月前包皮无明显诱因出现花生米大小增生物,无明显自觉症状,未予重视。增生物呈进行性增大、增多、变硬、变黑。患者既往体健,否认不洁性行为史。系统检查未见异常,腹股沟淋巴结未触及肿大。皮肤科情况:阴茎右侧包皮近冠状沟部位见多个黑褐色牛羊角状增生物,角状增生物长约2~4.5cm,宽约0.3~1.5cm,境界清楚,质地坚硬,表面粗糙、污 1 Clinical data Patient male, 71 years old, married, teacher. More foreskin more than 4 months. More than 4 months ago there is no obvious incentive foreskin peanut size accretions, no obvious symptoms, no attention. Increased by increasing organisms, increased, hardened, black. Past health of patients, denied the history of dirty sex. No abnormalities were detected in the system and inguinal lymph nodes were not palpable. Dermatology: the penis near the coronal portion of the foreskin see a number of dark brown cattle and sheep horn-like proliferation of horn-shaped accretions about 2 ~ 4.5cm, width of 0.3 ~ 1.5cm, clear the state, the texture is hard, the surface rough, Sewage