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Lymph Node Inguinal Metastasis of Carcinoma of the Penis Already Treated by Amputation

Luciano Zogbi*, Caroline Alegre, and Victor Francis

Faculdade de Medicina (FAMED) - Universidade Federal do Rio Grande (FURG)

*Address for Correspondence: Luciano Zogbi, Faculdade de Medicina (FAMED) - Universidade Federal do Rio Grande (FURG), Rio Grande City, Rio Grande do Sul State, Brazil, Tel: +555-398-417-3416; E-mail: zogbi@furg.br

Submitted: 23 June 2018; Approved: 20 August 2018; Published: 22 August 2018

Citation this article: Zogbi L, Alegre C, Francis V. Lymph Node Inguinal Metastasis of Carcinoma of the Penis Already Treated by Amputation. Open J Surg. 2018;2(1): 015-016.

Copyright: © 2018 Zogbi L, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

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A 69-year-old Caucasian man presented with a vegetative and purulent tumor measuring about 10 cm in the right inguinal region. He reported that the lesion was painless but had been growing progressively for 5 months. His past medical history was remarkable for Squamous Cell Carcinoma of the Penis (SCCp), treated by partial penectomy, inguinal lymphadenectomy and chemotherapy one year prior. Biopsy of the inguinal neoplasm was found to be a metastasis of SCCp and he began treatment with radiotherapy and chemotherapy. The figure shows clearly the metastatic mass and the amputated penis.

SCCp is a very rare uro-genital cancer. Penectomy is an oncologically safe treatment modality in appropriately selected invasive tumors [1], but deviation from recommended management may be a reason of a significant prognostic worsening, as proper treatment favorably impacts on these tumours [2].

  1. Tang DH, Yan S, Ottenhof SR, Draeger D, Baumgarten AS, Chipollini J, et al. Glansectomy as primary management of penile squamous cell carcinoma: An International Study Collaboration. Urology. 2017; 109: 140-144. https://goo.gl/uVb5q5
  2. Nicolai N, Biasoni D, Catanzaro MA, Colecchia M, Trama A. Testicular germ-cell tumours and penile squamous cell carcinoma: Appropriate management makes the difference. Eur J Surg Oncol. 2018; pii: S0748-7983: 30416-30415. https://goo.gl/hPWVvS