Case of giant basal cell carcinoma around the base of the penis in an elderly patient

Abstract

We report a case of an 85-year-old man with a doughnut-shaped basal cell carcinoma around the base of the penis invading the cavernosum urethra. In cases in which curative resection is planned, the penis is resected, cystostomy is performed, and postoperative self-management is required. In line with the patient's wishes and the fact that he was an elderly person living alone without family support, we decided to perform penis-conserving surgery. Relapse occurred once, for which additional resection was conducted. Two years after the resection, there was no evidence of tumor recurrence. The therapeutic plan for elderly patients should be modified after considering the patient's social background, wishes, activity and life expectancy.

A case of penile basal cell carcinoma reconstructed by scrotal myofasciocutaneous flap

“…The occurrence of BCC on non-sunexposed areas implicates other possible etiologies in its development. Previous reports have failed to identify new risk factors associated with penile BCCs (1)(2)(3)(4)(5). Most of penile BCCs can be excised locally without functional impairment (1)(2)(3)(4)(5).…”

“…Previous reports have failed to identify new risk factors associated with penile BCCs (1)(2)(3)(4)(5). Most of penile BCCs can be excised locally without functional impairment (1)(2)(3)(4)(5). Previous reports also pointed it out that penile BCCs tend to be presented later than expected (1)(2)(3)(4)(5).…”

“…Most of penile BCCs can be excised locally without functional impairment (1)(2)(3)(4)(5). Previous reports also pointed it out that penile BCCs tend to be presented later than expected (1)(2)(3)(4)(5). Moreover, not a few cases were correctly diagnosed as penile BCC after an improper dermatological diagnosis, such as infection or dermatitis (2)(3)(4).…”

“…Nonetheless, penile BCCs account for only a small 0.01-0.03% of all BCCs in men, therefore, a few cases of penile BCCs have been reported so far (3)(4)(5). Most of penile BCCs can be cured by local excision without affecting penile functions (2)(3)(4)(5). Here, we report a case of BCC of the penile base which required a total penectomy and was reconstructed successfully using scrotal myofasciocutaneous flap.…”

“…However, numerous reports of BCC in non-sun-exposed areas, such as scrotal and perianal regions, have been documented (2)(3)(4). Nonetheless, penile BCCs account for only a small 0.01-0.03% of all BCCs in men, therefore, a few cases of penile BCCs have been reported so far (3)(4)(5). Most of penile BCCs can be cured by local excision without affecting penile functions (2)(3)(4)(5).…”