Cytological diagnosis of nonulcerative penile neoplasms: Report of two cases

Abstract

Nonulcerative penile mass lesions are rare. Pathological diagnosis of these lesions would traditionally be a biopsy. We report two such primary penile lesions which were diagnosed by fine-needle aspiration cytology (FNAC). Both lesions were present in the shaft and were diagnosed as squamous cell carcinoma (SCC). The first patient had a recurrence on the penile stump of partial amputation without any ulceration. The second had a primary urethral carcinoma on the terminal penile shaft infiltrating the corpora cavernosa dorsally. Open biopsies were avoided in both cases. FNAC was associated with very little and tolerable discomfort. There were no complications. The aspirate yield was sufficient for cytological diagnosis. FNAC of nonulcerated penile lesions is safe, well tolerated, and capable of providing a cytological diagnosis. Hence, it is a very useful outpatient procedure and could be the procedure of choice for diagnosis.

A correlative study on cytopathological and histopathological findings in male genital tract lesions

“…Similarly several authors described that this tumor constituted less than 0.5 percent of all cancers in male and age group was sixth decade of life. 22,23,24 FNAC has an overall sensitivity and specificity of 90%, respectively, for diagnosing chronic epididymal lesions, with a positive predictive value of 87.5%. 16 Similarly, high accuracy was observed in our study.…”