Initial symptoms and delay in patients with penile carcinoma

Skeppner, Elisabet; Andersson, Swen‐Olof; Johansson, Jan‐Erik; Windahl, Torgny

doi:10.3109/00365599.2012.677473

Cited by 53 publications

(53 citation statements)

References 27 publications

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“…A range of knowledge and symptom recognition factors were associated with help‐seeking behaviour across quantitative studies. A low level of cancer knowledge was associated with delayed help‐seeking in men affected by penile cancer . Symptom mildness and symptom misattribution were associated with help‐seeking delay among men affected by testicular and colorectal cancer .…”

Section: Resultsmentioning

confidence: 96%

“…Emotions were also associated with men's delayed help‐seeking for cancer symptoms. Fear was a barrier to timely help‐seeking in two studies , with African‐American men more likely to report fear than White men ( p < .01) . In one study of men affected by colorectal cancer, a low level of concern about symptoms and concern about bothering health professionals were associated with help‐seeking delay .…”

Section: Resultsmentioning

confidence: 99%

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Psychosocial factors that influence men's help‐seeking for cancer symptoms: a systematic synthesis of mixed methods research

et al. 2015

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Objective: Effectiveness of cancer control partly depends upon early identification and treatment. Men appear to be more likely to delay help-seeking for symptoms, resulting in later diagnosis. This review aims to provide a mixed research synthesis of the psychosocial barriers to and facilitators of help-seeking for cancer symptoms among men.Methods: Systematic methods were followed, including a predefined research question and search strategy. Searches retrieved 7131 international records from online databases: MEDLINE (n = 3011), PubMed (n = 471), SCOPUS (n = 896), Informit (n = 131), PsychINFO (n = 347), and Web of Science (n = 2275). Forty studies were eligible for inclusion in the review (25 qualitative studies, 11 quantitative studies, and 4 mixed-method studies).Results: There was strong observational evidence for several psychosocial barriers to men's helpseeking behaviour: low cancer knowledge and inaccurate symptom interpretation, embarrassment and fear, and conformity to masculine gender role norms. The strongest facilitating factor associated with men's help-seeking behaviour was encouragement and support of spouses and family members. The majority of research was qualitative and used small samples, making generalisations to the wider population difficult.Conclusions: Men's help-seeking for cancer symptoms is influenced by several psychosocial factors, which, in part, may be gender-specific. Health promotion initiatives to improve help-seeking behaviour among men should aim to increase cancer knowledge, reduce embarrassment and fear, address social norms deterring timely help-seeking, and acknowledge informal help-seeking with spouses and family members. Increasing the theoretical grounding of research could aid cohesion across the research area and the design of effective health promotion interventions.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Psychosocial factors that influence men's help‐seeking for cancer symptoms: a systematic synthesis of mixed methods research

et al. 2015

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“…In the present case, the patient neglected his initial symptoms and eventually developed penile auto-amputation, inguinal abscess and widespread metastasis. Advanced presentations of carcinoma penis occur due to ignorance and social stigma despite availability of sophisticated healthcare technology 1. Auto-amputation of the penis due to carcinoma penis is very rarely reported in the literature 2.…”

Section: Descriptionmentioning

confidence: 99%

Auto-amputation of penis due to advanced carcinoma penis

et al. 2018

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“…In the case of a retractable foreskin, symptoms include a rash, a wound, one or more tumours or merely uneven induration of the glans. Penile cancer patients often hesitate to seek medical help for their condition, and a long patient interval is a well-known challenge for this disease entity [42]. Around 25-30% of patients have regional metastases in the inguinal lymph nodes at presentation [1].…”

Section: Clinical Presentationmentioning

confidence: 99%

A urologist’s contemporary guide to penile cancer

Jakobsen¹

2015

Scandinavian Journal of Urology

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Few urologists deal with penile cancer on a daily basis. Owing to the rarity of the disease and its diversity in presentation, clinical experience accumulates slowly and new paradigms spread sporadically. This review provides a concise update on the background, clinical features and multidisciplinary management strategies of penile cancer. The evidence base of penile cancer management recommendations is devoid of randomized controlled trials and relies mainly on retrospective cohort studies from single institutions. In recent years, international multicentre collaboration has increased the quality of evidence. Larger study cohorts allow researchers to engage in subgroup analysis of patients with poor prognosis, of which the literature so far has been scarce. Comprehensive evidence-based guidelines are available through the European Association of Urology. This review highlights the importance of early and minimally invasive regional lymph-node staging of all patients of stage T1G2 or higher, and underlines the therapeutic potential of inguinal lymph-node dissection in lymph-node positive patients. A discussion of the oncological safety of current trends towards more phallus-sparing treatment techniques emphasizes the importance of proper case selection, thorough patient information, consequent follow-up and the possibility of a reconstructive procedure after organ-sparing ablative penile surgery. The aetiological role of human papilloma virus (HPV) is touched upon and the evidence for circumcision and HPV vaccination of boys is briefly weighed. The value of multidisciplinary treatment of advanced penile cancer is underlined and the role of chemotherapy, radiotherapy and radiochemotherapy is discussed. Finally, the perspectives for hybrid tracer sentinel node, robot-assisted lymph-node surgery and targeted therapies are addressed.

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Initial symptoms and delay in patients with penile carcinoma

Abstract: A considerable proportion of the patients had a patients' delay of more than 6 months, perhaps due to benign initial symptoms as erythema, rash or eczema. Psychological factors such as embarrassment and denial may also be involved, as well as insufficient awareness or knowledge.

Cited by 53 publications

References 27 publications

Psychosocial factors that influence men's help‐seeking for cancer symptoms: a systematic synthesis of mixed methods research

Psychosocial factors that influence men's help‐seeking for cancer symptoms: a systematic synthesis of mixed methods research

Auto-amputation of penis due to advanced carcinoma penis

A urologist’s contemporary guide to penile cancer

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