Penile Cancer Incidentally Detected During Circumcision:A Case Report

Abstract

This report presented the case of an 83-year-old male with penile cancer detected accidently during circumcision for the purpose of facilitating the insertion of resecting scope for bladder carcinoma. This penile cancer was too close to collum glandis to be removed with a sufficient surgical safety margin. After due consideration, we performed the circumcision only 2 mm away from the tumor. The pathological examination of the bladder tumor revealed urothelial carcinoma, G2, pTa, and that of the penile tumor revealed SCC, pTaN0M0. We performed a punch out biopsy at six points around the surgical margin at one week postoperatively. However, we did not detect any malignant tissue in the biopsy specimen. This patient did not want additional postoperative treatment, and was followed-up this patient without treatment. This patient is still alive with no recurrence of any tumor at 1 year after the operation.