Keywords : Carcinoma of Penis
A CLINICAL STUDY AND MANAGEMENT OF CARCINOMA PENIS IN TERTIARY CARE CENTRE
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 1534-1541
Background: Carcinoma of penis is a malignancy with wide range of clinical and pathological presentation. Disease ranges from local primary lymph node infiltration to distant metastasis. Although rare in western countries, constitutes a major substantial health concern in many developing countries including India. Proper evaluation of both the primary lesion and lymph nodes is critical because nodal involvement is the most important factor for survival. This study undertaken to study incidence with age, religion and SES and to study risk factors and its management.
Methods: A descriptive study was conducted among 30 patients proven carcinoma penis in KR hospital Mysuru during period from November 2017 to June 2019. Data was collected with meticulous history clinical examination and appropriate investigation and follow up of the patient.
Results: In our study the maximum incidence was found to be in the age group of 50 to 70.youngest was 35 year and oldest was 76 year old.Muslims were free of diseases due early circumcision and all cases were hindus.In our study 86.6% of the patients associated with carcinoma penis were smokers. Commonest symptom of presentation was proliferative growth (76%).The most common site of origin was Glans penis. The average time interval between onset of symptoms and seeking medical advice is 7 months. The most common surgery performed was partial penectomy 73.3% and majority biopsy report was SCC. Moderately and poorly differentiated tumors had a very strong association with nodal involvement.
Conclusion: Carcinoma penis can be avoided by better penile hygiene and circumcision. It is a curable disease, if detected early and treated properly. The surgery is the mainstay of treating the carcinoma of penis. Creating awareness in public is the only way to reduce the mortality and morbidity due to carcinoma of penis.