Hidden penile squamous cell carcinoma: A case report

Neufeld, Sam; Kroczak, Tadeusz; Drachenberg, Darrel

doi:10.5489/cuaj.1883

Cited by 2 publications

(4 citation statements)

References 12 publications

(12 reference statements)

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“…For local tumors with no lymph node involvement, the recommendation is for penile-sparing surgeries such as simple excision, simple glansectomy, or Mohs micrographic surgery or local excision [1][2][3]. For patients with larger local tumors, partial or local penile amputation is recommended with negative margins due to the high risk of recurrence [4]. Patients with high-grade T1 disease and beyond often require more extensive surgical interventions such as partial or total penectomy [1,3,4].…”

Section: Discussionmentioning

confidence: 99%

“…For patients with larger local tumors, partial or local penile amputation is recommended with negative margins due to the high risk of recurrence [4]. Patients with high-grade T1 disease and beyond often require more extensive surgical interventions such as partial or total penectomy [1,3,4].…”

Section: Discussionmentioning

confidence: 99%

“…Without chemotherapy, the patient would have been expected to live for less than six months [3]. The patient had distant metastatic disease, unlikely to be responsive to chemotherapy [4]. The patient explored his options with chemotherapy and eventually decided to go home with hospice services.…”

Section: Expected and Actual Outcomementioning

confidence: 99%

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A Case Report on Advanced Squamous Cell Carcinoma of the Penis

Nong¹,

Sun²,

Dyrved³

2022

Cureus

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This is a case of a 60-year-old Hispanic male with a history of poorly controlled diabetes who presented to the hospital with a chief complaint of a mass in the penis with mucopurulent discharge and drainage. The patient reported that the mass has been present for one year and had increased in size over the past six months. The patient had the mass biopsied at an outside surgical center one year ago, which was supposedly negative for cancer. On the initial physical examination, there was a large exophytic necrotic mass entirely replacing the penis with complete obliteration of the normal architecture of the glans and phallus with foul, purulent discharge. Significant bilateral palpable inguinal lymphadenopathy was present. A bedside biopsy was performed, which revealed squamous cell carcinoma (SCC). Computed tomography (CT) of the chest, abdomen, and pelvis was ordered for staging and revealed extensive pulmonary and hepatic metastasis, as well as bulky inguinal and retroperitoneal lymph node involvement. Systemic chemotherapy was offered to the patient; however, the patient declined and opted for hospice.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Case Report on Advanced Squamous Cell Carcinoma of the Penis

Nong¹,

Sun²,

Dyrved³

2022

Cureus

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“…Para tumores locales sin afectación de los ganglios linfáticos, la recomendación es para cirugías conservadoras del pene, como la escisión simple, la glansectomía simple o la cirugía micrográfica de Mohs o la escisión local (13,18). Para pacientes con tumores locales más grandes, se recomienda la amputación parcial o local del pene con márgenes negativos debido al alto riesgo de recurrencia (25,26).…”

Section: Las Indicaciones De Alta Que Se Le Sugiere Alunclassified

Cáncer de pene. Caso clínico

Villacorta Córdova,

EnrÍquez Chugá,

Mazapanta Guanoluisa

et al. 2023

Cienc. Serv. Salud Nutr.

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Introducción: El diagnóstico de cáncer de pene es esencialmente clínico y debe confirmarse mediante el estudio histopatológico. La estadificación quirúrgica correcta es crucial y las etapas avanzadas requieren un manejo multimodal. Existen varias modalidades para el tratamiento, en la penectomía parcial es fundamental la realización de una biopsia transoperatoria para verificar mediante microscopía los márgenes de resección negativos. La quimioterapia se emplea cuando hay presencia de ganglios pélvicos positivos. Presentación del caso: paciente masculino de 79 años con antecedentes de circuncisión hace 3 años presenta dolor en región inguinal derecha y pene, de moderada intensidad. En estudios complementarios de ingreso se evidencia: PSA libre porcentual: 18.35% mientras que en los estudios de imagen se evidencia en la tomografía axial computarizada (TAC) de abdomen y pelvis, cambios degenerativos óseos a nivel de la columna dorso lumbar. Ultrasonido se evidencia adenitis inguino – crural bilateral. Se realizó biopsia del prepucio y ganglio derecho. Dentro de la impresión diagnóstica nos encontramos frente a un cáncer escamocelular pobremente diferenciado de pene estadio III (T1B-N1-M0) y P1: insuficiencia venosa GII, para lo cual se tiene como plan una penectomía parcial más vaciamiento inguinal bilateral. Conclusiones: El cáncer de pene puede presentarse como una lesión a nivel del glande. En ocasiones como úlcera perforando el prepucio con probabilidad de exteriorizarse. La detección precoz puede ayudar a reducir el avance de la enfermedad y por ende asegurar un tratamiento exitoso.

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Hidden penile squamous cell carcinoma: A case report

Abstract: Penile cancer is a rare malignancy that typically presents as a superficial lesion. We present an interesting case of subepithelial penile cancer presenting without superficial manifestation.

Cited by 2 publications

References 12 publications

A Case Report on Advanced Squamous Cell Carcinoma of the Penis

A Case Report on Advanced Squamous Cell Carcinoma of the Penis

Cáncer de pene. Caso clínico

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