Penile Carcinoma
Penile
cancer occurs most often in men over the age of 60. It originates
in the area of the glans penis, most commonly in the coronal sulcus.
Differential
diagnosis includes primary syphilis and condyomata. The penile
cancer grows infiltrating into the penile shaft and metastasizes
to the inguinal lymp nodes. Chancroid, tuberculous ulcer, ulcerative
latanitis, lympogranuloma inguinale and genital herpes must be
excluded.
Treatment
For
early stages radiation treatment. Partial penctomy (2/3 of the
penile shaft).
Practical Tips
- Self-examination
of the testis allows early detection of testicular nodules.
- Testis
with the epididymis on the back side and the cord structures can
easily be separted.
- Testicular
enlargement is found in a variety of benign conditions (spermatcele,
hydrocele, epididymitis).
- Diaphanoscopy
allows diagnosis of a hydrocele.
- Tumor
maker (AFP and B-HCG) should be sent in all cases of suspicious
scrotal masses.
