A surgical approach to squamous cell carcinoma of penis that also resolved the psychological dysfunction of the patient
| Autor: | Georgios Liapis, Ioannis Anastasiou, Napoleon Moulavasilis, Ioannis Katafigiotis, Marios Frangoulis, Aikaterini I. Anastasiou, Konstantina G. Yiannopoulou |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Urology Physical examination Anxiety lcsh:RC870-923 Lesion Foreskin Squamous cell carcinoma medicine Carcinoma Humans Glans Penile Neoplasms Memory Disorders Degloving medicine.diagnostic_test Depression business.industry Surgical technique Middle Aged Neurovascular bundle medicine.disease lcsh:Diseases of the genitourinary system. Urology Surgery medicine.anatomical_structure Carcinoma Squamous Cell medicine.symptom business Penis |
| Zdroj: | Archivio Italiano di Urologia e Andrologia, Vol 92, Iss 1 (2020) |
| ISSN: | 2282-4197 1124-3562 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|