Rare presentation of penile cancer: a case report

Authors

  • Arpit Deo Department of Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
  • Mrinalini Borkar Department of Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
  • Dhiraj Sagrule Department of Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
  • Gopal Gadade Department of Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
  • Shilpa Borse Department of Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20230509

Keywords:

Penile cancer, Total penectomy, Perineal urethrostomy

Abstract

Penile cancer is rare. Squamous cell cancer usually starts on glans or coronal sulcus as a nodule, foul smelly ulcer or cauliflower like mass, which invades corpora cavernosa as it progresses sparing the urethra until late in the course of the disease.We report a case of 32-year-old male with squamous cell carcinoma of penis in the form of ulcer involving shaft of penis at the base with surrounding inguinoscrotal region managed with en-mass wide local excision of the malignant ulcer taking 1 cm margin from all sides with total penectomy with partial left scrotal skin excision with left orchidectomy with perineal urethrostomy with local scrotal advancement flap reconstruction with bilateral superficial inguinal lymphnode biopsy. Post op period was satisfactory. At discharge, flap was healthy with well-functioning perineal urethrostomy. Patienthad received 6 cycles of adjuvant chemotherapy.Ca penis can be present in any rare form and hence early diagnosis and timely management is the key.

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Published

2023-02-24

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Section

Case Reports