Penis and scrotum
Inflammatory lesions
Plasma cell balanitis

Authors: Antonio Cubilla, M.D., Alcides Chaux, M.D. (see Authors page)

Revised: 2 April 2018, last major update February 2010

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PubMed Search: Plasma cell balanitis penis

Cite this page: Cubilla, A., Chaux, A. Plasma cell balanitis. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/penscrotumplasmacellbalanitis.html. Accessed December 12th, 2018.
Definition / general
Terminology
  • Also known as balanitis circumscripta plasmacellularis, Zoon balanitis
  • Balanitis: inflammation of glans
Epidemiology
  • Middle aged and elderly uncircumcised men
Etiology
  • Etiology unknown but probably reactive
Clinical features
  • Disease tends to be chronic and may persist for months to years
  • Solitary or rarely multiple brown-red plaques located in glans or inner foreskin
  • Surface is shiny, slightly moist and stippled with minute red specks
  • May simulate erythroplasia of Queyrat / Bowen disease
Case reports
Treatment
Clinical images

Images hosted on PathOut server:

AFIP images:

Glans mucosa is extensively involved by erythematous lesion resembling erythroplasia of Queyrat

Microscopic (histologic) description
  • Epidermal atrophy, band-like infiltrate of plasma cells in dermis, hemosiderin pigment laden macrophages (siderophages), edema and numerous capillaries
  • Epithelium may show mild reactive changes which can simulate penile intraepithelial neoplasia
  • Rarely plasma cells are scant / absent
Microscopic (histologic) images

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