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Case Reports
. 2017 Apr 10:13:16-18.
doi: 10.1016/j.eucr.2017.03.021. eCollection 2017 Jul.

Local Excision for the Treatment of Penile Verrucous Carcinoma

Dong In Jo  1 , Sang Kyu Choi  1 , Soon Heum Kim  1 , Cheol Keun Kim  1 , Hong Chung  2 , Hong Sup Kim  2
Affiliations
Case Reports

Local Excision for the Treatment of Penile Verrucous Carcinoma

Dong In Jo et al. Urol Case Rep. .

Abstract

Penile verrucous carcinoma is known for its favorable biologic behavior and lack of metastatic potential. For preservation of function, treatment has been focused on partial penectomy. Despite partial penectomy for preservation of minimal functional and aesthetic aspects, patients have experienced psychosexual problems. A 73-year-old man had a cauliflower-like verrucous carcinoma on the penile glans and coronary sulcus diagnosed by using excisional biopsy. He underwent degloving excision to save the penile shaft and glans penis. Surgical margin was 3 mm. He had been tumor-free at the 2-year follow-up. For maximum preservation of the functional and aesthetic aspects, we recommend degloving excision.

Keywords: Aesthetic aspects; Conservative surgery; Penectomy; Penile verrucous carcinoma; Preservation of function.

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Figures

Figure 1
Figure 1
Photograph taken preoperatively. The mass was on the penis and coronary sulcus. The size of mass was about 3 cm in diameter. The mass was firm and adherent at its base, and had multiple papillary lesions and a cauliflower-like appearance.
Figure 2
Figure 2
(×40) The tumor was locally aggressive invasion in the basement membrane. Lower margin portion shows keratin pearls, less differentiated tumor cells, and focal invasion.
Figure 3
Figure 3
Photograph taken 1 year postoperatively. The result showed good healing with no evidence of recurrence either locally or at other sites.
See this image and copyright information in PMC

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