Large verrucous penis cancer in a young patient in the Brazilian Amazon: Case report and discussion on the region's reality

Abstract

Introduction: Penile cancer is a rare malignant tumour top in urology, especially in developed countries or in a favourable cultural habit. However, in developing countries or with a low socio-economic population, the incidence increases considerably, as does the stage at which the patient arrives for the first care.

Case presentation: Male patient, 20 years old, from the interior of Amazonas - Brazil, has been referred to a Urological Service in the Emergency Room due to a vegetative lesion of approximately 10 centimetres, with an ulcerated centre and irregular borders in penile glans. An incisional biopsy was performed, which revealed invasive squamous cell carcinoma and was referred to the elective surgery service.

Conclusions: The socioeconomic condition of the population influences in a relevant way in cases in the Amazon region, with little and difficult access to preventive information and to the public health system, mainly in the interior of the state. Young patients tend to maintain the confidentiality of the picture that leads to the progression of the disease, with negative outcomes, requiring intense psychological monitoring.

Keywords: Case report; Health promotion; Neoplasms; Penile diseases; Penile neoplasms; Urologic surgical procedures; Urology.

Fig. 1

Large tumour at glan.

Fig. 2

Superior view of the tumour and bilateral enlarged inguinal limph nodes.

Fig. 3

Surgical piece with measures.