ISSN: 2474-3682
El Amraoui et al. Clin Med Img Lib 2018, 4:082 DOI: 10.23937/2474-3682/1510082 Volume 4 | Issue 1 Clinical Medical Image Library Open Access
IMAGE ARTICLE Infiltrating Squamous Cell Carcinoma of the Penis Mohamed El Amraoui*, Rachid Frikh, Naoufal Hjira and Mohammed Boui Check for updates Department of Dermatology-Venereology, Mohammed V Military Training Hospital, Rabat, Morocco
*Corresponding author: Mohamed El Amraoui, Department of Dermatology-Venereology, Mohammed V Military Training Hospital, Rabat, Morocco, E-mail: [email protected]
Abstract Infiltrating squamous cell carcinoma (SCC) of the penis is a rare tumor of easy diagnosis. The poor prognosis of this cancer justifies a rigorous oncological management which is often mutilating and badly accepted in our context. We present a case in an elderly man.
Figure 1: Ulcerated tumor of the penis.
Clinical Case bleeding on contact with an early scrotal infiltration and without inguinal lymphadenopathy or urinary signs A 74-year-old man, with no notable pathological his- (Figure 1). The cutaneous biopsy showed an epithelial tory, especially without condyloma or toxic exposure. tumor proliferation, arranged in masses and in casings Consulted for an ulcerated tumor of the ventrolateral made of polyhedral cells possessing a cellular frame- side of the penis, of 5 centimeters in diameter, evolving work, a cytoplasm of average abundance, basophilic for eight months, resistant to symptomatic treatments,
Citation: El Amraoui M, Frikh R, Hjira N, Boui M (2018) Infiltrating Squamous Cell Carcinoma of the Penis. Clin Med Img Lib 4:082. doi.org/10.23937/2474-3682/1510082 Received: December 11, 2017; Accepted: February 19, 2018; Published: February 21, 2018 Copyright: © 2018 El Amraoui M, et al. This is an open-access content distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduc- tion in any medium, provided the original author and source are credited.
El Amraoui et al. Clin Med Img Lib 2018, 4:082 • Page 1 of 2 • DOI: 10.23937/2474-3682/1510082 ISSN: 2474-3682
Figure 2: Infiltration of the dermis by carcinomatous proliferation. and provided with a hyperchromatic ovoid nucleus and Conclusion of variable size, the Mitotic figures are numerous, the Early diagnosis reduces this rate and allows for less stroma reaction is of fibroinflammatory type (Figure 2). aggressive treatment, contributing to these men’s bet- The diagnosis of a moderately differentiated infiltrative ter quality of life. Training physicians for early detection and non-keratinizing epidermal carcinoma was retained. of this type of cancer and instructing the lay population The locoregional and general extension assessment was will certainly improve this scenario. reassuring and the patient was referred to an urology departement for additional care. References Comments 1. Lynch DFJ, Pettaway CA (2002) Tumors of the penis. In: Walsh PC, Campbell’s Urology. (8th edn), Elsevier Compa- Penile cancer is rare and 95% of the cases histologi- ny, Philadelphia, 2945-2981. cally correspond to squamous cell carcinoma (SCC) [1]. 2. Bezerra AL, Lopes A, Landman G, Alencar GN, Torloni H, Infection with oncogenic types of Human Papilloma Vi- et al. (2001) Clinicopathologic features and human papillo- rus (HPV) and lichen sclerosus seem to be the main risk mavirus dna prevalence of warty and squamous cell carci- factors for this neoplasm [2,3]. The ignorance of practi- noma of the penis. Am J Surg Pathol 25: 673-678. tioners, the conservative nature of the population, the 3. Powell J, Robson A, Cranston D, Wojnarowska F, Turner taboos and the difficulties of access to care leaves even R (2001) High incidence of lichen sclerosus in patients with these tumors at advanced stages. Cancer of the penis squamous cell carcinoma of the penis. Br J Dermatol 145: 85-89. can cause high morbidity because of both the disease itself and the treatment, which includes partial or total 4. Rossari JR, Vora T, Gil T (2010) Advances in penile cancer management. Curr Opin Oncol 22: 226-235. amputation of the organ [4].
El Amraoui et al. Clin Med Img Lib 2018, 4:082 • Page 2 of 2 •