In April 2009, he re-presented with dyspepsia and some change in his bowel habits. Imaging by ct showed retroperitoneal, pelvic, and inguinal lymphadenopathy. Fine-needle aspiration of the left inguinal lymphadenopathy revealed empd. [current-oncology.com]

The colonoscopy showed the presence of intense perianal rash with xeroderma, peeling skin, warty lesions and a severe stenosis of the anal orifice (Fig. 1a). Also, no changes in the rectal mucosa and absence of polyps in the colon were observed. [bmccancer.biomedcentral.com]

In September 2011, the patient was experiencing vomiting, dysphasia to solids, and retrosternal pressure. Restaging ct imaging revealed a node compressing the esophagus. [current-oncology.com]

Biopsy of the penile lesion demonstrated empd. [current-oncology.com]