Research Day
A CASE OF PENILE CARCINOMA PRESENTING AS SCROTAL PAIN AND SWELLING
Document Type
Abstract
Date
2021
Abstract
Penile carcinoma is a rare malignancy in the United States. It accounts for less than 1% of cancer in men in the U.S. with recent statistics reporting approximately 2200 new cases a year and about 460 deaths annually. The disease typically presents as a painless lesion such as a lump or ulcer and/or skin abnormality such as erythema of the penis. Other less common clinical manifestations include: rash, bleeding, or balanitis. A majority of the new cases will already be metastatic with a 5-year survival rate of 50% or less depending on extent of disease. Given its rarity and advanced disease on presentation, it is important to be aware of the various ways penile carcinoma can present in order to seek treatment in a timely fashion. We present a case of penile carcinoma in a 45 year old male who presented with complaints of acute scrotal pain and swelling. He was subsequently admitted for management of scrotal abscess. During this admission, CT imaging demonstrated a mass at the glans of the penis and significant inguinal adenopathy. IR guided biopsy of the inguinal lymph nodes confirmed squamous cell carcinoma of the penis. He was promptly referred to oncology for management. After four cycles of chemotherapy and two surgeries for resection, disease progressed to involve the abdominal cavity. Patient died from complications eight months after initial diagnosis was made.