Penile squamous carcinoma in circumcised patients: a report 17 cases.
- Author:
Qun WAN
1
;
Zhong-yi LI
;
Zhou-jun SHEN
;
Xuan-wen ZHU
;
Zhi-gen ZHANG
;
Song-liang CAI
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Carcinoma, Squamous Cell; etiology; Circumcision, Male; Follow-Up Studies; Humans; Male; Middle Aged; Penile Neoplasms; etiology; Phimosis; complications; surgery; Postoperative Period; Retrospective Studies
- From:National Journal of Andrology 2006;12(12):1108-1109
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo discuss the diagnosis and treatment of penile carcinoma in circumcised men.
METHODSWe reviewed 17 cases of penile carcinoma detected 1 month to 16 years after circumcision performed in our hospital from January, 1997 to December, 2004.
RESULTSOf the total number, 11 cases were diagnosed as penile carcinoma 1 - 12 months and the others 3 - 16 years after the circumcision. Sixteen of them were treated by partial penectomy, anti 1 first by extensive circumcision and later by partial and total penectomy successively after recurrence. Cloquet nodes biopsy showed 16 cases to be pathologically well-differentiated and I case moderately differentiated penile squamous carcinoma. One died of extensive metastasis, but the other 16 remained disease-free survivals.
CONCLUSIONCircumcised adult men, especially those over 40 years of age, are likely to develop penile carcinoma. Patients with inflammation, plaque or ulcer in the prepuce should be checked by pathological biopsy and followed up closely. For Stage-I penile squamous carcinoma, partial penectomy is shown to be an effective therapeutic option, and Cloquet's nodes biopsy is necessary for all patients.
