Can someone develop a lump after four sessions of cryotherapy?

Question

Hi doctor,

I had cryotherapy of about four sessions for a lump on my scrotum. It had not completely been eradicated, so the doctor sent it for a biopsy. The doctor thought it may have been a genital wart. The biopsy then came back, saying it was a leiomyoma cell that had spindle cells positive for desmin and SMA.

I would like to know that after cryotherapy could anyone develop a wart or is there any chance that it is just a scar from the cryotherapy or are these two things are different?

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Leiomyoma is a benign tumor arising from spindle cells that are confirmed on the biopsy and the additional report added to it at the end whereas a wart is an infective lesion (viral infection). It is a benign leiomyoma as per the attached reports (attachment removed for patient identity protection), not a wart. Skin biopsy of the wart will show mature squamous cells with a large clear perinuclear zone with a smudgy nucleus.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Immunohistochemical markers are done to differentiate the leiomyoma and scar as both can appear the same on histopathological biopsy. This means that IHC (Immunohistochemical) has been a confirmatory additional test that has helped in your diagnosis (benign leiomyoma) as per the report (attachment removed for patient identity protection) you have sent. Accordingly, to IHC reports it is a benign leiomyoma. Attach clinical picture to assess lesion clinically.

Thank you.