“…However, carcinoma of the penis is also associated with low socioeconomic status, poor personal hygeine, promiscuity, and -c high rates of venereal disease (39, 125,127), factors common in patients with granuloma inguinale. In addition, some cases of alleged genital carcinoma coincident with or due to granuloma inguinale may actually represent the infection simulating a malignancy (120,128) Pseudoelephantiasis (11,55,75,129) ofthe genitals is another disfiguring complication ( Fig. 3).…”