A PROSPECTIVE STUDY ON CLINICAL PRESENTATION AND MANAGEMENT PROTOCOLS OF CARCINOMA PENIS IN TERTIARY CARE CENTRE
INTRODUCTION:Carcinoma of the penis is a malignancy with a wide range of clinical and pathological presentations. It constitutes a major substantial health concern in many developing countries including India. Proper evaluation of both the primary lesion and lymph nodes is critical because nodal involvement is the most important factor for survival. This study was undertaken to [1,2,3] determine incidence with age, religion, and socioeconomic status and to study risk factors and its management . METHODS:A descriptive study was conducted among 30 patients with proven carcinoma penis for a period of 2 years. RESULTS: In my study the maximum incidence was found to be in the age group of 50 to 70. All cases were Hindus and Muslims were free of disease may be due to early circumcision. In my study 86.6% of the patients associated with carcinoma penis were smokers. The commonest symptom at presentation was proliferative growth (76%). The most common site of origin was the Glans penis. The average time interval between onset of symptoms and seeking medical advice is 7 Months. The most common surgery performed was partial penectomy (73.3%) and a majority of the biopsy report showed SCC. Moderately and poorly differentiated tumors had a very strong association with nodal involvement. CONCLUSION: Carcinoma penis can be avoided by better penile hygiene and circumcision. It is a curable disease, if detected early and treated properly. The surgery is the mainstay of treatment. Creating awareness in public is the only way to reduce mortality and morbidity due to the carcinoma of the penis.