Glans Resurfacing in Carcinoma in situ of the Penis: A Case Report
Raquel Catarino *
Department of Urology, Pedro Hispano Hospital, Matosinhos, Portugal.
André Cardoso
Department of Urology, Pedro Hispano Hospital, Matosinhos, Portugal.
Carlos Ferreira
Department of Urology, Pedro Hispano Hospital, Matosinhos, Portugal.
Diogo Pereira
Department of Urology, Pedro Hispano Hospital, Matosinhos, Portugal.
Tiago Correia
Department of Urology, Pedro Hispano Hospital, Matosinhos, Portugal.
Manuel Cerqueira
Department of Urology, Pedro Hispano Hospital, Matosinhos, Portugal.
Frederico Carmo Reis
Department of Urology, Pedro Hispano Hospital, Matosinhos, Portugal.
João Correia-Pinto
Department of Pathology, Pedro Hispano Hospital, Matosinhos, Portugal.
Raquel Crisóstomo
Department of Urology, Pedro Hispano Hospital, Matosinhos, Portugal.
Maria João Gama
Department of Urology, Pedro Hispano Hospital, Matosinhos, Portugal.
Rui Prisco
Department of Urology, Pedro Hispano Hospital, Matosinhos, Portugal.
*Author to whom correspondence should be addressed.
Abstract
Aims: Penile cancer is an uncommon malignancy in Western countries. There are known premalignant lesions that can progress to invasive penile cancer, namely carcinoma in situ (CIS) of the glans. Treatment options for this disease include topical chemotherapy and laser ablation, but the published literature demonstrates limited efficacy for these approaches. Surgical techniques with penile-preserving approaches are performed with the goal of removing the entire tumor and preserving as much of penis as possible. There are no large, randomized studies comparing treatment options for these lesions, and reports concerning the surgical approaches are scarce.
Presentation of Case: In this study, we present a case report of a patient with CIS of the glans penis surgically treated with glans resurfacing.
Discussion and Conclusions: There were no complications during follow-up, and after 20 months, the patient has no evidence of disease recurrence, has preserved urinary and erectile functions and is currently satisfied with the cosmetic appearance.
CIS treatment with glans resurfacing allows the maintenance penile length and function with a good aesthetic result without compromising oncologic control. This approach also allows an accurate staging of the disease and assessment of the treatment efficacy.
Keywords: CIS, penile cancer, penile-preserving surgery, glans resurfacing