Traumatic neuromas are tumors resulting from hyperplasia of axons and nerve sheath cells after section or injury to the nervous tissue 1. We present a case of this tumor, confirmed by anatomopathological examination, in a male patient with history of circumcision. Knowledge of this entity is very important in achieving the differential diagnosis with other lesions that affect the genital area such as condyloma acuminata, bowenoid papulosis, lichen nitidus, sebaceous gland hyperplasia, achrochordon and pearly penile papules. Traumatic neuromas are tumors arising from hyperplasia of axons and nerve sheath cells after section or injury to the nerve. They are rare in the genital region. In cases of penile location the majority is associated to circumcision, even though any type of trauma may originate the tumor. Clinically, penile traumatic neuromas present themselves as skin-colored or erythematous papules, a diameter which varies from 1 to 7 mm, located in the glans, body of penis or in the transition area of both. The histopathological picture shows multiple hyperplastic nerve branches, forming entanglements, located beneath the epithelium. Differential diagnosis is important with other penile-located diseases such as condyloma acuminata, bowenoid papulosis, sebaceous gland hyperplasia, pearly penile papules, lichen nitidus and acrochorda. He reported history of asymptomatic, skin-colored papular lesions on the penis, for one and a half year.
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The former was thwarted only by lupus, the latter by the IRS, which would not let both husbands claim her on their tax returns. Nin is famous for her unexpurgated memoir Henry and June , which details her —2 sexual obsession with the American writer Henry Miller and, now and then, his wife June who appears in the flesh for about two paragraphs. Oh well. That Esquire list caters to men, which is most of what Nin does. I caressed it and pressed it in my hand. In my half-sleep I thought it was Henry. When Hugo became excited and began to take me, I awakened fully and was deeply disappointed.
The Hungarian Adventurer There was a Hungarian adventurer who had astonishing beauty, infallible charm, grace, the powers of a trained actor, culture, knowledge of many tongues, aristocratic manners. Beneath all this was a genius for intrigue, for slipping out of difficulties, for moving smoothly in and out of countries. He traveled in grandiose style, with fifteen trunks of the finest clothes, with two great Danes. His air of authority had earned him the nickname the Baron. The Baron was seen in the most luxurious hotels, at watering places and horse races, on world tours, excursions to Egypt, trips through the desert, into Africa. Everywhere he became the center of attraction for women.