Cáncer de pene. Caso clínico

Introduction: The diagnosis of penile cancer is essentially clinical and must be confirmed by histopathological study. Correct surgical staging is crucial, and advanced stages require multimodal management. There are various modalities for treatment, in partial penectomy it is essential to perform an intraoperative biopsy to verify negative resection margins by microscopy. Chemotherapy is used when there is presence of positive pelvic nodes. Presentation of the case: a 79-year-old male patient with a history of circumcision 3 years ago presents pain in the right inguinal region and penis of moderate intensity. In complementary studies on admission, the following is evidenced: Percentage free PSA: 18.35% while in the imaging studies, the CT of the abdomen and pelvis shows degenerative bone changes at the level of the thoracic lumbar spine. Ultrasound shows bilatetral inguino-crural adenitis. A biopsy of the foreskin and right ganglion was performed. Within the diagnostic impression we are faced with a poorly differentiated squamous cell cancer of the penis stage III (T1B-N1-M0) and P1: GII venous insufficiency, which is planned for a partial penectomy plus bilateral inguinal dissection. Conclusions: Penile cancer can present as a lesion at the glans level. Sometimes it ulcerates perforating the prepuce, exteriorizing towards the outside. Early detection can help reduce the progression of the disease and thus ensure successful treatment.

• Main Author: Villacorta Córdova, Francisco Ney (author)
• Other Authors: EnrÍquez Chugá, Carla Alejandra (author), Mazapanta Guanoluisa, Silvia Nataly (author), Villafuerte Rodríguez, Pamela Anabell (author)
• Format: article
• Language: spa
• Published: 2023
• Online Access: http://revistas.espoch.edu.ec/index.php/cssn/article/view/797