There is no successful and reliable treatment regimen for Xp11 TRCC; however, the most favorable outcomes have been associated with curative surgical excision with radical nephrectomy and lymph node dissection. Literature in the older adult population is limited, and outcomes data are still premature, making long-term follow-up data necessary. “
“Warty carcinoma of the penis is an unusual neoplasm and a variant of penile squamous cell carcinoma.1 The typical case is an exophytic mass arising from the glans penis, frequently large (4-5 cm), and with invasion into corpus spongiosum. selleck chemicals llc Microscopic features representative of warty carcinoma are hyperkeratosis, papillomatosis, parakeratosis, and prominent
koilocytosis with nuclear pleomorphism.1 Clinically, patients complain of a growing mass on the distal penis, ulceration, bleeding, and discharge. The diagnosis is typically made by tumor biopsy. Staging may include urethroscopy and computed tomography (CT) or magnetic resonance imaging (MRI). Treatment depends on the stage of disease and includes partial vs total penectomy, with or without prophylactic or therapeutic bilateral lymphadenectomy. An otherwise healthy 19-year-old circumcised man with a history of burns to the penis
as a toddler presented for evaluation of a penile mass present for approximately 8 months. He denied being sexually active. Evaluation for human immunodeficiency virus infection (enzyme-linked selleckchem immunosorbent assay) was negative. Physical examination revealed a large fungating penile mass with a discharge. The lesion almost completely replaced the extracorporal penis and extended to the base of the penis. There was no palpable inguinal lymphadenopathy, and the
remainder of the genitourinary examination was unremarkable. Abdominal and pelvic CT revealed only bilateral inguinal adenopathy. No evidence of distant metastatic disease was noted. MRI of the penis revealed an approximately 4-cm verrucous penile mass crotamiton that completely replaced the glans penis and abutted the tip of the corporal bodies. Partial penectomy was the initial therapeutic step. After resection, the neourethra and corporal bodies were flush with the skin of the penoscrotal junction. The surgical pathologic diagnosis was well-differentiated “warty” (condylomatous) squamous cell carcinoma obliterating the glans penis. Grossly, the specimen consisted of an unrecognizable glans penis and a portion of relatively spared penile shaft. The exophytic verrucous lesion obliterating the glans penis had an arborizing papillomatous cut surface (Fig. 1). The urethral ostium was also involved. Microscopically, the lesion was papillomatous with thin fibrovascular cores. Acanthosis, parakeratosis, and koilocytosis were prominent throughout, with infiltrating nests of tumor at the base (Fig. 2).