Penile cancer

Risk factors

Phimosis

HPV infection

Tobacco use

Penile trauma

Smegma

HlV & AIDS

Complications

Wound infection

Serom

Skin flap necrosis

Phlebitis

Lymphedema of the scrotum and lower extremities

Treatment

Biologic therapy

Chemotherapy

Radiation therapy

Internal

External

Surgery

Local excision

Laser therapy

Mohs micrographic surgery

Photodynamic therapy

Amputation of the penis

Circumcision

Pharmacotherapy

Cisplatic

Bleomycin

Methotrexate (otrexup, Ravuso, Rheumatrex)

Ifosfamide (ifex)

Clinical manifestations

An area of skin becoming thicker

Changes in the skin colour

A lump

An ulcer that might bleed

A reddish velvety rash under the foreskin

Small crusty bumps

Smelly discharge or bleeding under the foreskin

Swelling

Diagnostic procedures

Chest X-ray

Magnetic resonance imaging

Computed tomography

Ultrasound

Biopsy

Excision biopsy

Incisional biopsy

Lymph node biopsy

Types

Squamous cell carcinoma

Basal cell carcinoma

Melanoma

Sarcoma

Prevention

Circumcision

Personal hygiene

Lifestyle factors

Staging and grading

Stage 2

Stage 3

Stage 1

Stage 4

Stage 0

Abnormal cells or growth that look like warts are found on the surface of the skin of the penis. These abnormal cells or growth may become cancer and spread to nearby tissues

Cancer has formed and spread to connective tissue just under the skin of the penis. Cancer has not spread to lymph vessels or blood vessels.

Cancer has spread to connective tissue just under the skin of the penis. Also, cancer has spread to lymph vessels or blood vessels or tumour cells may look very different from normal cells under a microscope

Cancer has spread to one of the lymph node in the groin. Cancer has also spread to connective tissue just under the skin of the penis

Cancer has spread to tissues near the penis such as the prostate, and may have spread to lymph nodes in the groin or pelvis.

Nursing intervention

Maintaining tissue integrity

Promoting nutrition

Relieving pain

Decreasing fatigue

Improving body image and self- esteem

Assisting in grieving process

Monitoring & managing potential complications

Promoting home and community based care

Pathophysiology

Some appear as white grey exophytic masses growing out of the penile skin and often cover the entire glans or produce before invading into the corpora and shaft of the penis.

Appearance can vary greatly

Penile cancer traditional begin as small lesions most commonly on the glands or produce.