Penectomía parcial como tratamiento para el cáncer de pene localizado, Hospital Juárez de México

Abstract

Background

Cancer of the penis presents in individuals between 50 and 70 years of age, representing only 2-5% of the urogenital tumors in men. However, its incidence varies in some Latin American countries (Paraguay, Brazil) and in Puerto Rico, in which it has been reported to reach 10% of the neoplasias affecting men. Surgery for cancer of the penis is mutilating and significantly affects the quality of life of these patients. We describe herein our management of the disease, in accordance with histopathologic stage, proposing less radical management together with oncologic treatment.

Aim

To present our current management of localized cancer of the penis.

Clinical case

A 42-year-old man presented with a suspicious lesion on the penis plus phimosis. The lesion was biopsied and the intraoperative histopathologic study was negative for neoplasia. Lesion excision and circumcision were carried out. The definitive histopathology study was positive for malignancy and a second surgery (partial penectomy) was performed.

Conclusions

We underline the importance of a correct histopathologic report for aiding the surgeon in determining the most viable surgery in each case, taking into account the medical, legal, psychologic, and social aspects of this type of pathology. We also confirm that good outcome is achieved through adequate surgical management of early-stage disease, as reported in the medical literature.