What could the abdominal warty lesion have been?
Patient: Hi, Dr: I am Dr.Bassel , about 8 months ago a warty like lesion in the lower abdomen area , about 8 cm above the penis root , that has a congested pedunculated root , I have no sexual activity , except my wife which is a doctor also and do not have any lesion or sexual relations , I excised it with electorcautatry , 2 weeks ago but its site is still unhealed and erythmatous skin arround it , what do you think is the diagnosis? Doctor: HI,Welcome to HCM.Cause of Warty lesion on lower abdomen-Based on the facts of your query,you  seems to suffer from-Pedunculated HPV wart.-A good Hygiene of the private parts with dettol sponging-keep the area dry.-As you are worried for non-healing since 2 wks of electrocuatery of the wart,I would suggest wide excision of the margins and Wedge biopsy of the edge of the Wart for Histopath study,if you haven't cauterized with wide margins.-Also be on High Protein Bland diet / with Citrus fruits for fast healing-Apply Silvadene cream locally to control infection and expedite the healing,which could be tried to begin with and for maintenance of fast healing of the wound.This could also would give you fast healing of the cauterized wound.Hope this would help you to resolve the healing issue by silvadene cream to start with and if no relief after 1 weeks time,you can opt for wedge biopsy with HPR study with wide excision by a Surgeon.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!     Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS