OJU  Vol.1 No.4 , November 2011
Ulcerated Nodal Metastasis in Penile Carcinoma
Abstract: A 35 year old male patient presented with untreated ulcerative lesion over the penis of one year duration with ulcerations over bilateral groin and suprapubic areas of three months duration. Biopsy was reported as squamous cell carcinoma. Involvement of nodes along suprapubic area is rare and is found ulcerated in this case. Ulceration of nodes and fixity occurs in the later stages of malignancy. Blowout of the underlying femoral vessels is one of the terminal events in such cases. This patient underwent bilateral ilioinguinal node dissection, total penoscrotal amputation and bilateral flap cover with tensor fascia lata flap.
Cite this paper: nullK. Harish and Y. Madhu, "Ulcerated Nodal Metastasis in Penile Carcinoma," Open Journal of Urology, Vol. 1 No. 4, 2011, pp. 89-90. doi: 10.4236/oju.2011.14019.

[1]   S. Misra, A. Chaturvedi and N. C. Misra, “Penile Carcinoma: A Challenge for the Developing World,” Lancet Oncology, Vol. 5, No. 4, 2004, pp. 240-247.

[2]   V. Margulis and A. I. Sagalowsky, “Penile Cancer: Management of Regional Lymphatic Drainage,” Urologic Clinics of North American, Vol. 37, No. 3, 2010, pp. 411-419. doi:10.1016/j.ucl.2010.04.009

[3]   D. J. Culkin and T. M. Beer, “Advanced Penile Carcinoma,” The Journal of Urology, Vol. 170, No. 2 Pt 1, 2003, pp. 359-365.

[4]   U. Ferreira, L. O. Reis, L. Y. Ikari, W. da Silva Jr., W. E. Matheus, F. Denardi, R. M. Stopiglia and F. H. Menezes, “Extra-Anatomical Transobturator Bypass Graft for Femoral Artery Involvement by Metastatic Carcinoma of the Penis: Report of Five Patients,” World Journal of Urology, Vol. 26, No. 5, 2008, pp. 487-491. doi:10.1007/s00345-008-0282-z

[5]   P. Bazy, “Ganglions du Penis,” In Gerota: Sur les Ganglions Prevesicaux. The Bullein of the Memebers of Surgical Society of Paris, Vol. 28, 1902, p. 538.

[6]   L. Decloux, “Examen dún Ganglion Penien,” In Gerota: Sur les Ganglions Prevesicaux. The Bullein of the Memebers of Surgical Society of Paris, Vol. 28, 1902, p. 538.

[7]   C. Bermejo, J. E. Busby, P. E. Spiess, L. Heller, L. C. Pagliaro and C. A. Pettaway, “Neoadjuvant Chemotherapy Followed by Aggressive Surgical Consolidation for Metastatic Penile Squamous Cell Carcinoma,” The Journal of Urology, Vol. 177, No. 4, 2007, pp. 1335-1338. doi:10.1016/j.juro.2006.11.038

[8]   J. A. Leijte, J. M. Kerst, E. Bais, N. Antonini and S. Horenblas, “Neoadjuvant Chemotherapy in Advanced Penile Carcinoma,” European Urology, Vol. 52, No. 2, 2007, pp. 488-494. doi:10.1016/j.eururo.2007.02.006

[9]   L. C. Pagliaro and J. Crook, “Multimodality Therapy in Penile Cancer: When and Which Treatments?” The Journal of Urology, Vol. 27, No. 2, 2009, pp. 221-225. doi:10.1007/s00345-008-0310-z

[10]   M. F. Chen, W. C. Chen, C. T. Wu, C. K. Chuang, K. F. Ng and J. T. Chang, “Contemporary Management of Penile Cancer Including Surgery and Adjuvant Radiotherapy: An Experience in Taiwan,” The Journal of Urology, Vol. 22, No. 1, 2004, pp. 60-66. doi:10.1007/s00345-003-0383-7