Penile Cancer in Cali, Colombia: 10 Years of Casuistry in a Tertiary Referral Center of a Middle-Income Country

  • Lina M. Rengifo Fifth year Medical Student, Faculty of Health, Universidad del Valle, Cali, Colombia
  • Maria del M. Herrera Fifth year Medical Student, Faculty of Health, Universidad del Valle, Cali, Colombia.
  • Angie L. Rincon-Jimenez Fifth year Medical Student, Faculty of Health, Universidad del Valle, Cali, Colombia.
  • Alberto J. Bermudez-Pupo MD, Urologist, Professor, Urology Department, Universidad del Valle, Hospital Universitario del Valle "Evaristo Garcia" ESE, Cali, Colombia
  • Francisco J. Bonilla-Escobar MD, MSc(c), Editor in Chief IJMS. Research Associate, Cisalva Institute, Universidad del Valle, Cali, Colombia.
Keywords: Penile Neoplasms, Circumcision, Male, Smoking, Developing Countries

Abstract

Background: Penile cancer is a rare disease in Colombia; in Cali, it represents 0.7% of all cancers. Penile cancer has been associated with old age, bad hygiene, smoking and lack of circumcision. This study aimed to describe the sociodemographic and clinica  characteristics of patients with penile cancer who consulted to a tertiary referral hospital. Methods: A case series of all penile cance cases at a reference institution in Cali during 2001-2010. Socioeconomic, demographic and clinical features of patients were described, and bivariate analyses were carried out. Results: There were 46 penile cancer cases. The average age was 60 ± 16.9 years. The main reason for consultation was an exophytic mass on the penis (75.0%). The most common location was the glans (69.6%), and the more frequent histology type was the squamous cell carcinoma (95.7%). With regard to risk factors, 65.5% of the patients had history of smoking and90.9% did not have circumcision. Patients who underwent radical amputation had higher rates of positive nodes (55% vs. 13.5%, p=0.015) and ulcerative lesions (77.8% vs. 29.7%, p=0.018) than those who did not have the procedure done. Recurrence was associated with the presence of lymphadenopathy (p=0.02) and history of circumcision (p=0.015). 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 and suffered a greater rate of recurrence compared with those without lymph node involvement. Robust studies to determine the risk factors among low-income populations are required.

Author Biography

Lina M. Rengifo, Fifth year Medical Student, Faculty of Health, Universidad del Valle, Cali, Colombia

Lina Rengifo is a fifth year medical student at Universidad del Valle and is an active member of the Scientific Medical Students Association of Universidad del Valle (ACEMVAL).

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Published
2014-09-01
How to Cite
M. Rengifo, L., Herrera, M. del M., Rincon-Jimenez, A. L., Bermudez-Pupo, A. J., & Bonilla-Escobar, F. J. (2014). Penile Cancer in Cali, Colombia: 10 Years of Casuistry in a Tertiary Referral Center of a Middle-Income Country. International Journal of Medical Students, 2(3), 109-114. https://doi.org/10.5195/ijms.2014.98
Section
Original Article