Penile Cancer/BXO

Question 1

What is the most common type of penile cancer?

Answer 1

Squamous cell carcinoma - it is a skin cancer

Question 2

Where is the most common site of penile cancer?

Answer 2

Glans

Question 3

How common is penile cancer?

Answer 3

V rare (only about 400 cases in UK each year)

Question 4

Is penile cancer painful?

Answer 4

No - hard painless lump

Question 5

What investiagations are done?

Answer 5

MRI to assess tumour depth

CT only in advanced disease

Question 6

How is cancer managed?

Answer 6

Circumcision

In advanced disease
- total penile amputation with formation of perineal urethrostomy

Question 7

What is the name of the skin condition you can see on the penis?

Answer 7

BXO - balanitis xerotic obliterans

Question 8

Who is BXO common in?

How does it present?

Answer 8

Youngish uncircumcised males
Poor personal hygiene link

Phimosis - tight foreskin
Paraphimosis - unable to retract foreskin back
Erythema

Question 9

What virus is penile cancer associated with?

Answer 9

HPV