penile cancer
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 penectomy (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.
