A surgical approach to squamous cell carcinoma of penis that also resolved the psychological dysfunction of the patient

  • Napoleon Moulavasilis | napomoul@hotmail.com 1st Department of Urology, National and Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.
  • Konstantina Yiannopoulou Department of Neurology, Henry Dunant Hospital Center, Athens, Greece.
  • Marios Frangoulis Plastic Surgeon, Academic Fellowship, National and Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.
  • Ioannis Katafigiotis 1st Department of Urology, National and Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.
  • Georgios Liapis Department of Pathology, Medical School of Athens, National and Kapodistrian University of Athens, Greece.
  • Aikaterini Anastasiou Medical School of Athens, National and Kapodistrian University of Athens, Greece.
  • Ioannis Anastasiou 1st Department of Urology, National and Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.

Abstract

In this case study, we present an unusual case with squamous cell carcinoma surrounding the penis involving foreskin and glans of penis. In addition, multiple satellite nodules were noted in the pubis. A 57-year-old circumcised heterosexual male patient presented with a penile lesion existing for 10 years. At the same time, he was referred to an outpatient memory clinic because of persistent subjective memory complaints associated with depression and anxiety. The patient was operated under general anaesthesia. The lesion was resected circumferentially with macroscopic clearance, resulting in complete degloving of the penile shaft. Neurovascular bundles were preserved. Histopathological analysis of the lesion revealed an invasive and poorly differentiated squamous cell carcinoma, and the surgical margins were free from tumour. The patient was followed for 18 months. He did not have voiding difficulty. Pelvic tomographic and physical examination findings did not reveal any episode of recurrence or metastasis. Treatment of carcinoma resulted in a simultaneous full recovery of his memory decline and he remained free of depression and anxiety symptoms over time.

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Published
2020-04-07
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Issue
Section
Case Reports
Keywords:
Squamous cell carcinoma, Penis, Surgical technique
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How to Cite
Moulavasilis, N., Yiannopoulou, K., Frangoulis, M., Katafigiotis, I., Liapis, G., Anastasiou, A., & Anastasiou, I. (2020). A surgical approach to squamous cell carcinoma of penis that also resolved the psychological dysfunction of the patient. Archivio Italiano Di Urologia E Andrologia, 92(1), 58-60. https://doi.org/10.4081/aiua.2020.1.58

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