Title: A Clinical Observational Study on Carcinoma Penis in its Clinical Presentation & Outcome
Authors: Sharath Chandran S, Gopikrishna D, Ashwin Muthukumar R
Background: Carcinoma penis is a rarely occurring carcinoma and management of this condition & surgical descision of lymph node dissection is vague. In this study various epidemiological, clinical and pathological features were observed and compared with other study & to study factors which help to decide lymph node dissection and management of this condition.
Materials & Methods: A prospective study conducted in Division of Urology in Rajah Muthiah Medical College and patients with proven carcinoma penis with biopsy are taken into study and total of 18 patients were observed from July 2016 to June 2018 and all data is compared with global data.
Results: Average age of presentation of disease in this study is found to be around 55 years. Most common presenting complaint is ulceroproliferative growth with associated urinary disturbances with history of recent onset of phimosis in uncircumcised individuals. Site of occurrence of growth commonly involving glans penis. Lesions of size more than 5cms had strong association with nodal involvement. About 44.40% of patients had palpable nodes.
Conclusion: High risk group should be identified and screening should be done to find out early diagnosis of pathology(11)(1). Incidence of palpable lymph nodes at time of presentation is higher when compared to western population & mostly found to be reactive node(9)(14). Personal hygiene measures and personal habits improvement should be educated to patients which can bring down incidence of carcinoma penis.
Keywords: Squmous cell carcinoma, carcinoma penis, Penectomy, Inguinal lymphnode dissection.