Penile cancer is a rare malignancy treated via various surgical techniques guided by disease stage and grade with current guidelines suggesting partial or total penectomy for those with pT2 or greater.
We report a case of a patient with pT2 squamous cell carcinoma (SCC) of the penis who underwent circumcision with left partial-glansectomy and en bloc resection of preputial mass with good oncological control while providing good urinary and sexual function.
An 82-year-old male presented to the clinic due to a mass that doubled in size in an 8-month timeframe. Treatment options were discussed with the patient including the risks and benefits of each electing wide-excision in glans-sparing fashion, possible partial penectomy. Given the possibility of low-grade verrucous carcinoma upon intraoperative exploration, ultimately, circumcision with left partial-glansectomy and en bloc resection of preputial mass was performed guided with intraoperative negative frozen sections. Patient's surgery and post-operative course were uncomplicated, followed with serial exams, and cross-sectional images showing no recurrence or metastasis.
Careful case selection with close postoperative follow-up monitoring for local recurrences, such as in this case, can allow patients to elect for organ-sparing partial glansectomy-when complete resection is feasible-as an acceptable option for oncological control in patients with pT2 penile cancer while providing good urinary and sexual function.
Translational andrology and urology. 2024 Dec 28 [Epub]
Jennida Chan, Jennifer Espinales, David Valancy, Brooke R Koltz, Firas G Petros
Department of Urology, College of Medicine and Life Sciences, The University of Toledo, Toledo, OH, USA., Department of Pathology, College of Medicine and Life Sciences, The University of Toledo, Toledo, OH, USA.
PubMed http://www.ncbi.nlm.nih.gov/pubmed/39816219