Penile Cancer in Bihar, India: 100 Cases in a Tertiary Referral Center of a Developing Country
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Background: Background: Penile cancer is more common in India as compared to Western populations. The age-adjusted incidence rate of penile cancer in India ranges from 0.8 to 1.8 per 100,000. Due to fear, ignorance, and embarrassment patients neglect the penile tumor for months before presenting to a physician. Many of our patients are of low socioeconomic status and never attend the follow-up after local therapy of the penile tumor. Quite a few of these present late with inoperable regional lymph node (LN) metastases, thereby missing the opportunity of a cure. Penile cancer has been associated with old age, bad hygiene, smoking and lack of circumcision. This study aimed to describe the sociodemographic and clinical characteristics of patients with penile cancer who consulted to a tertiary referral hospital. Methods: A case series of all penile cancer cases at a tertiary referal institution during 2012-2014. Socioeconomic, demographic and clinical features of patients were described, and bivariate analyses were carried out. Results: There were 100 penile cancer cases. The average age was 60 years. The main reason for consultation was an foul smelling ulcero-proliferative mass on the penis (80%). The most common location was the glans+shaft (55%), and the more frequent histology type was the squamous cell carcinoma (95%). With regard to risk factors, 65% of the patients had history of smoking and 100% did not have circumcision. Conclusion: Most of the patients with penile cancer found in this study had old age, history of tobacco use and lack of circumcision. Patients who presented with lymph node metastasis had to undergo more radical procedures compared with those without lymph node involvement. Robust studies to determine the risk factors among low-income populations are required.
Authors and Affiliations
Shah Naveed, Hasina Qari, Dipti Raj, Shah Nawaz Bashir, B. B. Panday
Keywords
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- EP ID EP441048
- DOI 10.9790/0853-1801121923.
- Views 74
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