A. Commonest site is glans penis
B. Distant metastasis is rare.
C. Circumcision soon after birth confers immunity
D. All of the above
Ans :D. All of the above.
Carcinoma of Penis is shown in the image.
CARCINOMA OF PENIS
- Circumcision soon after birth confers immunity against carcinoma penis
- The following as risk factors for penile cancer: human papillomavirus (hpv) infection, smoking, smegma, phimosis, balanoposthitis, condyloma acuminata/ penile warts, leukoplakia of glans, paget’s disease, treatment of psoriasis with uv light, age, erythroplasia of queyrat and aids.
Carcinoma in situ
- At glans penis: Paget’s disease of penis or Erythroplasia of Queryat
- At shaft: Bowen’s disease – Usually in those older than age 35 years
- Bowenoid papulosis
- In sexually active young adults
- Multiple, pigmented papular lesions
- Related to HPV type 16
- Histologically indistinguishable from Bowen’s disease
- Virtually never develops into invasive carcinoma
- In adults recent onset phimosis should raise the suspicion of carcinoma penis
- Inguinal node enlargement(60%) is the most common presentation
- Little or no pain
- Altered urinary stream
- Inguinal nodes may erode the skin and death may result from erosion of femoral or external iliac artery
- First to horizontal group of inguinal nodes and then external iliac nodes
- From glans to lymph node of Cloquet in the femoral canal
- Blood spread is rare.Distant metastasis is rare.
- FNAC of lymph nodes (NO OPEN BIOPSY)
- Sentinel Lymph Node Biopsy (SLNB) – Cabana sentinel node is located above and medial to the junction of saphenous and femoral veins.