Penile basal cell carcinoma in a black kidney transplant recipient

Basal cell carcinoma (BCC) is uncommon in the black population with a reported incidence of 9 cases per 100,000 persons per year. Penile BCC is rare with only 27 cases described in the literature. When compared with immunocompetent patients, BCC is 3 times less frequently diagnosed than squamous cell carcinoma (SCC) in organ transplant recipients (OTRs). The ratio of BCC to SCC in nonwhite OTRs is reported to be even lower at 1:4.5.1 We present a case of BCC on the penile shaft in a black male kidney transplant recipient (KTR). To our knowledge, this is the second reported case of penile BCC in a black patient and the first in an immunosuppressed organ transplant patient.