Prospective Clinicopathological Study of Penile Cancer Patients : A Single Institution Experience

Authors

  • Sushil Kumar
  • Ashish Kumar Gupta
  • B B Pandey

DOI:

https://doi.org/10.37506/ijocs.v9i1.2939

Keywords:

Carcinoma penis, Groin node dissection, Lymphedema

Abstract

Background: Carcinoma of the penis is an uncommon malignancy in Western countries but constitutes a
major health problem in many countries in Asia, Africa, and South America, where it may comprise up to
10% of all malignancies.
Materials and Method: 42 consecutive patients of carcinoma penis were treated from 2013 to 2015. Clinical
and pathological profies were recorded and studied prospectively.
Results: 20/42 (48%) patients were of the age group 60 and above. majority of patients belonged to poor
socioeconomic status, 32/42 patients(76.1%). Glans of the penis was the most common site of presentation
in 28/42patients(66.6%). The most common symptoms were pus discharge from the penile ulcer in 21
patients(50%). 31/42 patients were chronic smoker or tobacco chewer. Inguinal lymph nodes were palpable
in 24/42 (57%). The most common complication associated with Groin node dissection was lymphedema in
19 patients (45.2%). 12/42 patients had inguinal lymph node metastasis in final histopathological examination
report. 50 % patients had grade II primary tumor.
Conclusion: Incidence of carcinoma penis peaks in the 6thdecade of life. Illiteracy, low socio-economic
status and phimosis appear to be main predisposing factors for carcinoma of penis. Nodal metastasis was
significantly associated with factors like T3 and high grade lesions (grade II & III). Complication rate related
to groin node dissection is high, commonest being lymphedema.

Author Biographies

Sushil Kumar

Assistant Professor, Department of Surgical Oncology, PGIMS Rohtak

Ashish Kumar Gupta

Associate Professor, Department of Surgical Oncology, Regional Cancer centre, Agartala

B B Pandey

Ex HOD, Department of Surgical Oncology, Mahavir Cancer Sansthan, Patna

Published

2021-04-07