|
|
|
|
Symptoms of Penile Cancer
|
|
Symptoms of
penile
cancer can get
worse as the
cancer
grows. However, many penile
cancer symptoms are also symptoms of other
infections and diseases.
Therefore, it is important that anyone who experiences common
symptoms of penile
cancer,
see their primary health care provider immediately. If penile
cancer is detected
during the initial stages of the disease, it can most likely be
treated successfully. The initial penile
cancer symptoms include
any abnormalities in the appearance of the penis. |
|
|
Penile
cancer will usually
cause the penis to change color.
The penis will usually turn red, but the changes
in appearance of the penis should not cause any
pain or discomfort. After the penis changes
appearance, as the penile
cancer
continues to grow and develop, a small lump or
bulge may appear. Lumps usually grow on the
foreskin of the penis of men who are not
circumcised. Men who have penile
cancer,
that are circumcised, may develop a lump on the
glans of the penis, better known as the head.
|
|
Still these
penile
cancer
symptoms should remain virtually painless. If
the penile
cancer patient does not get screened for the
disease and the
cancer
continues to spread through out the penis and
eventually into the lymph nodes, the penile
cancer
symptoms will continue to develop. In advanced
stages of the disease, penile
cancer
may cause a negative scented discharge which
will usually leak underneath the foreskin. While
it may be rare, once penile
cancer
spreads into the lymph nodes around the groin,
that area may start to feel tender and painful
which is due to the lymph nodes becoming
swollen. While most penile
cancer
symptoms do not cause any pain or discomfort,
they can be very noticeable. This should make it
clear to the patient that something is wrong and
that they should be screened by their primary
health care provider as soon as possible. Penile
cancer
is easier to treat successfully if it is
detected during the initial stages of the
disease. |
|
Penile Cancer Prognosis:
Penile
cancer prognosis is a prediction made by a
health care provider about the likely course of
the disease in the patient and the patient's
chance of survival. Penile
cancer
is very rare, and most cases that are detected
during the disease's early stages are
successfully treated. However, a penile
cancer
prognosis depends on a lot of different factors.
Some of these factors only concern the patient,
while others only concern the disease. The
particular case of penile
cancer
plays an important role in determining the
prognosis. The health care provider has to
consider what stage the
cancer
is in when it is detected, as well as the grade
of the
cancer. If the disease is detected early, it
can most likely be completely removed through
surgery. However, if the penile
cancer
is advanced and metastasis has occurred, then
surgery will not be able to treat the disease.
This will result in a negative prognosis. The
penile
cancer patient will also influence the
prognosis of the disease. Factors relating to
the patient that play a big role in determining
the penile
cancer prognosis can include the patient's
age, their overall general health, their medical
history, as well as their family medical
history. An important factor that will influence
the long term prognosis is how the patient
responds to the preferred method, or methods, of
treatment. For example, if the penile
cancer
is advanced, and cannot be completely removed
through surgery, the patient's health care
provider may choose to use chemotherapy to treat
the disease. However, many
cancer
patients do not respond well to chemotherapy
drugs and this may force the health care
provider to choose a different method of
treatment that may not be as effective.
|
|
Once all of the information is gathered from
these different variables, the patient's health
care provider will provide the patient with a
penile
cancer prognosis. While the penile
cancer
prognosis is a good indication of how the
disease will progress, the patient should not
take the prognosis as an exact guideline. No
matter how experienced the health care provider
is with penile
cancer,
there is always a risk of the
cancer
to start growing rapidly, and/or to spread to
distant parts of the
body.
Every case of penile
cancer,
like most types of
cancer,
is unique and no two cases of the disease will
grow the same way. Therefore, it is important
for penile
cancer patients to listen to, and follow
their health care providers directions and
suggestions regarding treatment and lifestyle
changes. |
|
Penile Cancer Prevention:
Even though exact causes of penile
cancer
are not completely understood, there are still
several measures people can take to help prevent
the disease. Statistics and studies show links
between penile
cancer
and HPV
infections, as well as tobacco smoking and
personal hygiene. Penile
cancer
research used to suggest that men who were not
circumcised, had a much bigger risk of getting
penile
cancer. However, more recent studies and
clinical trials have proven that theory to be
wrong. Medical experts and researchers feel that
the studies suggest this old theory did not take
other risk factors into consideration, that we
now know exist. One of the easiest ways to
prevent penile
cancer
is to maintain good genital hygiene. This can be
more difficult for uncircumcised men because
they have to pull back the foreskin in order to
clean the entire penis. This can lead to parts
of the penis not being cleaned properly when the
penis is not erect. As with many other types of
cancer,
studies suggest that there is a link between
smoking tobacco and penile
cancer.
While the link is not completely understood,
statistics show that men who smoke tobacco are
much more likely to develop penile
cancer.
Like other forms of
cancer
in the human reproductive organs, there is a
connection between penile
cancer
and HPV
infections. HPV
infections
are sexually transmitted diseases. Since
abstinence is not always a likely scenario,
health care providers suggest that men wait
until they are older to start engaging in sexual
activity. |
|
Types of Penile Cancer:
The external male reproductive organ, known as
the penis, is constructed of many distinct types
of tissue. Therefore, the type of penile
cancer
that an individual may get, all depends on what
type of tissue the
cancer
grows on. The most common type of penile
cancer
is squamous cell
cancer
of the penis. Other types of penile
cancer
include adenocarcinoma, melanoma, basal cell
carcinoma and sarcoma. However, these types are
very uncommon. Since the disease itself is very
rare in the United States, there are very few
actual cases of these types of penile
cancer
in our country. As with most cancers, penile
cancers start out as small tumors in the penis.
Many of these are benign tumors. Benign tumors
are not cancerous, meaning they will not spread
and are dormant. Tumors that do continue to grow
and are not benign tumors, then become
cancerous. Squamous cell
cancer
of the penis accounts for about ninety percent
of all cases of penile
cancer.
Squamous cells cover most of the human skin,
including the penis. Cancers in squamous cells
can form on any part of the penis. However, most
cases of squamous cell
cancer
of the penis occurs on the glans, or head, and
on the foreskin of men who are not circumcised.
Unlike many other types of cancers, squamous
cell cancers do not rapidly grow. Instead, after
the
cancer
initially forms, it usually takes multiple years
for the
cancer to grow and develop. This is why most
cases of penile
cancer
are treatable, especially if it is detected
during the early stages of the disease.
Metastasis, meaning the
cancer
has spread to distant
body
parts, is very uncommon in squamous cell
cancers. Penile
cancer
that forms in the cells that create sweat on the
surface of the penis, is known as adenocarcinoma.
These celles are called glandular cells.
However, this type of penile
cancer
is very rare, accounting for less than six
percent of all penile cancers. Other types of
penile
cancer like melanoma, sarcoma and basal cell
carcinoma are extremely rare, for almost no
cases of these types of penile
cancer
occur in the United States. |
|
Penile cancer Diagnosis:
Most cases of
penile
cancer are clearly
noticeable due to changes in the
color of the penis, as well as
moles that may develop on the
penis as a result of the
disease. These symptoms of
penile
cancer are much more obvious
than symptoms of many other
cancers, making it easier
for people with the disease to
know when to get screened for
the disease. Most cases of
penile
cancer are diagnosed by a
biopsy. There are also multiple
different types of imaging tests
that can help a doctor diagnose
the disease as well. If penile
cancer is diagnosed during
its early stages, it will most
likely be successfully treated
with surgery. This is why it is
important for men who notice a
change in appearance of their
penis to see their primary
health care provider as soon as
possible. Biopsy A biopsy is a
surgical procedure used to
screen for diseases. A health
care provider will collect a
sample of tissue from the
infected area of the penis. Once
the tissue sample is removed, it
will be examined under a
microscope. If
cancer cells exist, they
will be clearly visible when
viewed under the microscope. If
the patient's health care
provider feels that the penile
cancer may have spread into
the lymph nodes on either side
of the groin, they can be
removed during a biopsy and
viewed under a microscope as
well. Imaging Tests There are
many different types of imaging
tests that can be used to
diagnose penile
cancer. These tests use X
ray and magnetic technology, as
well as sound waves to produce
images inside the penis. If the
patient has penile
cancer, most cases will be
visible in these images. Imaging
tests that are used to diagnose
penile
cancer include a CT
(computed tomography) scan, MRI
(magnetic resonance imaging),
and an ultrasound. A CT scan
uses X ray technology to produce
full images of the inside of the
penis. Instead of taking one
single picture, the scanning
machine takes multiple pictures
while it moves around the penis.
Once the machine is done taking
the pictures, it combines all of
them together. An MRI scanner
uses radio wave and magnetic
technology to produce images of
the tissue inside of the penis.
For an ultrasound, a small
device called a transducer,
sends out sound waves which
bounce off of the tissue of the
penis. The sound waves that
bounce back are then converted
into images that are viewed on
the ultrasound machine. |
|
Penile Cancer Staging:
Like
most other types of
cancer, penile
cancer staging uses the
American Joint Committee on
Cancer's TNM system. The system
is simple and easy to
understand. T stands for tumor,
and is paired with numbers 1
through 4 to indicate how much
the tumor has grown (1 being the
smallest and 4 being large in
size). N stands for nodes, as in
lymph nodes and is also paired
with numbers 1 through 3. M
stands for metastasis, which
means that the
cancer has spread to distant
parts of the
body. M is paired with
either 0 or 1, because there are
no levels of metastasis.
Instead, metastasis has either
occurred or not yet occurred. A
combination between different
levels of T, N and M are what
make up the
cancer stages. In some
unique cases of penile
cancer, there are sub-stages
such as stage 3 a or b.
Cancer Stages: Stage 1: T1,
N0, M0 The
penile
cancer is only present in
the surface layer of the skin on
the penis. Stage 2: T1-3, N0, M0
The penile
cancer has spread into the
tissue right underneath the
surface layer of the penis, into
the corpus spongiosum or corpora
cavernosum, and may have grown
into the urethra. The
cancer has not spread into
the lymph node system Stage 3:
T1-3, N1-2, M0 The penile
cancer has spread into all
tissues of the penis, possibly
the corpus spongiosum, corpus
cavernosum, and urethra. The
cancer has also spread to
more than one lymph node in the
groin. Stage 4: T1-4, N1-3, M0-1
The penile
cancer has grow into the
lymph node system in the groin
and possibly near the pelvis.
The
cancer has spread to distant
parts of the
body,
such as the prostate or other surrounding organs |
|
|
|
|
|
|
|
|