Large verrucous penis cancer in a young patient in the Brazilian Amazon: Case report and discussion on the region's reality

• Published in: Urology case reports 2019, Vol.24, p.100857-100857
• Main Authors: Barroso, Francisco Marcos da Silva, Paiva, Cristiano Silveira, Sousa, Flavio Antunes de, Andrade Júnior, Gualter Ferreira de, Alves, Roger Arthur da Cunha, Costa, Ketlen Gomes da, Silva, Rafaelle Taynah Soares da, Rodriguez, Juan Eduardo Rios, Peder Júnior, Evandro Aulice de
• Format: Report
• Language: English
• ISSN: 2214-4420; 2214-4420
• DOI: 10.1016/j.eucr.2019.100857

INTRODUCTIONPenile cancer is a rare malignant tumour top in urology, especially in developed countries or in a favourable cultural habit. However, in developing countries or with a low socio-economic population, the incidence increases considerably, as does the stage at which the patient arrives for the first care. CASE PRESENTATIONMale patient, 20 years old, from the interior of Amazonas - Brazil, has been referred to a Urological Service in the Emergency Room due to a vegetative lesion of approximately 10 centimetres, with an ulcerated centre and irregular borders in penile glans. An incisional biopsy was performed, which revealed invasive squamous cell carcinoma and was referred to the elective surgery service. CONCLUSIONSThe socioeconomic condition of the population influences in a relevant way in cases in the Amazon region, with little and difficult access to preventive information and to the public health system, mainly in the interior of the state. Young patients tend to maintain the confidentiality of the picture that leads to the progression of the disease, with negative outcomes, requiring intense psychological monitoring.