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The resected mass was firm, gray-white with patchy brown-black pigmentation

The patient has a history of congenital adrenal hyperplasia, for which she takes prednisolone 8 mg daily, and of anxiety, depression and migraines

Schmidt Alycia W

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Aetiological factors for penile SCC are similar to those for PIN, including increasing age, presence of a foreskin (neonatal circumcision reduces the risk), phimosis, chronic inflammatory genital disease (mostly penile lichen sclerosus), smoking, treatment with photochemotherapy (psoralen and ultraviolet A [PUVA] therapy), multiple sexual partners (with earlier onset of sexual activity) and immunosuppression