What is penile cancer?
Carcinoma of the penis usually arises from the epithelium of the inner foreskin or glans penis.
It is a rare tumor and usually occurs after the age of 50 years.
The most frequent type of penile cancer is squamous cell carcinoma (SCC) although there are several recognized subtypes with different characteristics and evolution.
What are the risk factors for penile cancer?
The main risk factors for penile cancer are human papillomavirus (HPV) infection, phimosis or poor hygiene.
It manifests with the appearance of a vegetating or flat, ulcerated lesion of several months' evolution. If any of these data appear, medical attention by a urologist is therefore recommended. urology specialist.
Deep biopsy of the primary tumor will provide the definitive diagnosis, degree of differentiation and infiltration and sometimes the same biopsy can be the curative treatment of penile cancer when complete excision with safe margins is achieved.
If the size of the lesion is small, local treatment is usually sufficient (Mohs micrographic surgery, laser application, interstitial radiotherapy or excision with a safety margin) and in more advanced cases, an extension study (CT of the thorax, abdomen and pelvis and bone scintigraphy) and appropriate radical surgery depending on the risk of each case is necessary.