The implication that the subject of the insult is indeed so insignificant as to suggest that they are equal only to the small particles of sweat, semen and urine to be found twix the folds of the foreskin and/or other parts of the penis.
CHAZZA: "Dahn fuckin' call me a knob-cheese, y' piece o' shit!"
2.A diss to someone if they smell or u dont like them.
chrisirving"ohh dw about that its knob cheese ill have it in a sandwich later."
lauren(ginger)"ok ill have some too."
2.calum "adam u want me to anal cavity u?"
adam"no u batty boy ure a knob cheese"
calum"relax honky i was joking"