Abstract: Background: Penile cancer is an unusual malignancy with higher incidence rates in developing countries like India when compared to the Western world. Hence we selected this study to analyze various clinical and pathological aspects of carcinoma penis in our region.
Aims and Objectives: To study in detail the clinical presentation, stage of the disease, management and results of the patients presenting with carcinoma of the penis at our hospital.
Materials and Methods: This is a prospective case study of 47 Cases of Carcinoma Penis, admitted to the surgical wards of Government General Hospital, Guntur, Andhra Pradesh, India from June 2009 to November 2011.
Results: The age incidence of carcinoma of penis in this study was between 40 to 70 years (79%). Majority were uncircumcised Hindus (91%). Ulcerative and proliferative growths were predominant (83%). Phimosis was present in 18% of cases. Half of the patient population presented late. 81% were smokers. Glans penis was the commonest site (60%). Well differentiated squamous cell carcinoma was commonly seen at biopsy. In half of the patients lymph nodes were not palpable whereas secondary deposits were seen in 15% of palpable lymph nodes at presentation. Partial penectomy either alone or along with radical inguinal lymphadenectomy was the commonest procedure performed. Postoperative complications were seen in 19% of cases. 19% were lost to follow-up.
Conclusion: Carcinoma penis is common in uncircumcised, elderly, Hindu smokers in this part of the state with majority of the patients approaching late after the onset of their symptoms. Partial amputation of the penis is applicable to more than 50% of cases.
