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We present the only quintagenarian with carcinoma cuniculatum at the shaft of the penis in the literature.
Grossly, carcinoma cuniculatum is bulky and white/gray with a granular, multilobated surface.
The differential diagnoses for carcinoma cuniculatum of the penis include classic verrucous carcinoma, mixed verrucous carcinoma and condylomatous carcinoma.
The correct diagnosis of a carcinoma cuniculatum lesion of the penis is important for post-resection management.
Esophageal intramural pseudodiverticulosis is unlikely to be confused with a neoplasm, except perhaps with the recently described carcinoma cuniculatum of the esophagus (Figure 14), a variant of well-differentiated esophageal squamous cell carcinoma.