Penile cancer

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Penile cancer

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Preguntas

Preguntas del estilo USMLE Step 1

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A 52-year-old man presents to an outpatient clinic for evaluation of an itchy rash on his penis. The rash has been present on the glans of the penis for seven weeks. The patient immigrated from Argentina in his twenties and is unsure of his vaccination status. He has had multiple sexual partners and occasionally uses condoms for protection. Physical examination reveals an uncircumcised penis. A 2-cm velvety, red, well-marginated, painless ulcer is noted on the glans penis. No other penile deformities are observed. Which of the following is the most likely diagnosis?

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External References

First Aid

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Human papillomavirus (HPV)

penile cancer p. 669

Penile cancer p. 222

Resumen

Penile cancer is a malignant type of cancer that occurs in the tissues of the penis. Risk factors include smoking, uncircumcision, HPV infection, and a weakened immune system. Common symptoms of penile cancer include penile sores, bumps, and warts on the penis; changes in the color or thickness of penile skin; bleeding or discharge from the penis; and painful and difficult urinating. Treatment for penile cancer may include surgery to remove the cancerous tissue, radiation therapy, and chemotherapy.