CASE STUDY IN PENILE CANCER

Penile cancer is a relatively rare squamous cell

carcinoma. It usually originates in the epithelium of the inner prepuce and glans. There is a tendency for early signs to be ignored so that they often present late and conservative surgery is impossible. The psychological impact of the disease is highly significant. The cause of penile squamous cell carcinoma is unclear but human papillomavirus (HPV) appears to be an important causative factor.

 Cancer begins when normal cells change and grow

uncontrollably, forming a mass called a tumor. A tumor can be benign (noncancerous) or malignant (cancerous, meaning it can spread to other parts of the body). Penile cancer is a rare form of cancer that occurs mostly in uncircumcised men (men who have a foreskin, the piece of skin covering the head of their penis). Circumcision is the removal of the foreskin and may reduce the risk of penile cancer.

DEMOGRAPHIC PROFILE

Patient Name : Age : Wt : Birth Date : Civil Status : Religion : Nationality : Occupation : Address : CC : Admission Date : Time of Admission: Attending Physician: Admitting Diagnosis: Initial V/S

Mr. X44 60 years old 145 lbs Nov. 16, 1953 Married Roman Catholic Filipino Jeepney Driver Sta. Mesa, Metro Manila Blister in the Penis March 2, 2013 2:00 PM Roberto Ibanez, MD Penile Ulceration :BP 120/80 Temp 36.5 RR 23 PR 88

HISTORY OF PRESENT ILLNESS

Patient was admitted Saturday noon March 2, 2013 with chief complaint of

itchiness and Blisters in his penis. According to him, last February 16, 2013, the patient complains difficulty to urinate and thought it was just UTI. The next day March 1, 2013, there was a slight enlargement on the glans of the patients penis.

FAMILY BACKGROUND Patient X44 is 60 y/o male. he is the 2nd of the 3 siblings. Her father is a former factory worker and stop working due to over fatigue and hypertension. Her mother is a dealer of clothes and cosmetic products and also a full time housewife. She is living at Sta. Mesa and sometimes stays with her grandparents near the Marikina River. The patient is a Jeepney driver, almost 6 years. This is the first time in their family that penile cancer occur. They have no idea of how the patient acquires the disease. No family history of TB, DM, and any other diseases aside from Hypertension.

PAST MEDICAL HISTORY

The patient was born via normal spontaneous vaginal delivery. There were no complications or abnormalities when he was delivered. According to him, he has a complete immunization record. It was his fifth time to be hospitalized. First time is she was 9 years old due to diarrhea and vomiting; second time is when she was 13 years old due to pneumonia; third time is due to UTI when he is 24 years old ; fourth time is due to gonorrhea when he is 36 years old and now due to Penile cancer stage 1.

ANATOMY AND PHYSIOLOGY

The penis is the external male sexual organ, as well as part of the urinary system. It contains several types of tissue, including skin, nerves, smooth muscle, and blood vessels.
The main part of the penis is known as the shaft, and the head of the penis is called the glans. At birth, the glans is covered by a piece of skin called the foreskin, or prepuce. The foreskin is often removed in infant boys in an operation called a circumcision. Inside the penis are 3 chambers that contain a soft, spongy network of blood vessels. Two of these cylinder-shaped chambers, known as the corpora cavernosa, lie on either side of the upper part of the penis. The third lies below them and is known as the corpus spongiosum. This chamber widens at its end to form the glans. The corpus spongiosum surrounds the urethra, a thin tube that starts at the bladder and runs through the penis. Urine and semen travel through the urethra and leave the body through an opening in the glans of the penis, called the meatus.

PATHOPHYSIOLOGY

DRUG STUDY

DRUG STUDY