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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 15, Issue 3, July 2015 pp 458-462
A study of incidence and management of carcinoma of penis
K C T Naik1, A Setu Madhavi2
Associate Professor, 2Assistant Professor, Department of Surgery, RIMS Medical College, Ongole Andhra Pradesh, INDIA.
Introduction: Presentation of carcinoma of penis is usually delayed. Surprisingly an organ handled on daily basis is affected, but neglected. It is unacceptable to believe ignorance as a single factor as responsible, but probably factors like shame, guilt play a greater role. Misconception of it as a venereal disease makes patient keep the disease hidden for long. Early detection of the pathology is of paramount importance in terms of early treatment and reduces the surgical and psychological traumas associated with partial or total penectomy. Aims and Objective: To study the incidence of Carcinoma of penis diagnosed in the tertiary care institute and various treatment modalities used. Material and Method: The present study was conducted in the department of surgery of RIMS medical college and hospital. After receiving the institutional ethical committee approval the study was started. The study was conducted from Jan 2014 to Dec 2014. All the cases of various carcinomas diagnosed in the institute were enrolled in the study. The diagnosis was confirmed by using various diagnostic methods such as FNAC, histology etc. Total 495 cases of various carcinomas among males were diagnosed in the institute. Out of them 12 cases were confirmed to be suffering from carcinoma penis. The cases of carcinoma penis were further investigated and followed up regularly. Information regarding age, religion, occupation, socio economic status, whether circumcised or not, presence and duration of phimosis, smoker/alcoholic, penile hygiene, presenting symptoms and their duration, previous treatments taken, evidence of any preexisting venereal diseases or penile cutaneous disorders reviewed by dermato-venereologist, the clinical features, histopathological findings and treatment given are compiled and recorded. Results: Incidence of carcinoma of penis was 2.42%. Peak incidence in the age group 51-60 years. Majority of the patients were belonging to lower socioeconomic class. All the 12 patients were Hindus and all were uncircumcised. 66.67% duration of disease was more than one year. 25% patients had history of veneral disease in past. Ulcer or growth on penis was the most common (83.33%) presenting complaint in the study. Partial amputation was done in 33.33% cases whereas total amputation was done in 41.67%. It was seen that 25% patients were having palpable inguinal nodes and were subjected to radiotherapy after control of primary tumor. One case was having inguinal metastasis and was also treated by radiotherapy. In 25% cases the carcinoma was in advanced stage and was treated by chemotherapy. Conclusion: The incidence of carcinoma penis the present study was 2.42%. Lack of circumcision and low socio-economic status was associated with poor penile hygiene and appear to be main predisposing factors for carcinoma of penis. Among the various available management options surgical option was used commonly followed by radio and chemo therapy.