Penile cancer is one of the tumors of the male reproductive organs, and its diagnosis is mainly based on clinical manifestations and pathological examination.
"Penile cancer usually occurs between the ages of 40 and 60, starting from the glans penis and the inner plate of the foreskin. The clinical symptoms are typically typical. Early stage penile cancer can manifest as epithelial hypertrophy of the glans penis or foreskin, but it is not easily detected, followed by papules, warts, cauliflower like plaques, and ulcers on the glans penis.".
"Subsequently, erosion occurs, with hard and irregular edges, causing tingling or burning pain. There is a purulent, malodorous secretion that can penetrate through the foreskin in a cauliflower like manner in the late stage. For patients with phimosis, early penile cancer is deeply embedded in the deep surface of the foreskin, which cannot be detected by the naked eye, but can cause itching and pain in the penis. There is often purulent secretion flowing out of the anterior end of the penis. If carefully palpated across the foreskin, a lump or nodular sensation can be touched,", "When there is tenderness locally, the tumor breaks through the cavernous fascia and protrudes outward, which is a typical manifestation of penile cancer.".
According to the above typical manifestations, if a mass or ulcer on the head of the penis is found accompanied by a malodorous secretion, and the edge of the ulcer is raised, which is not healed over time, and is gradually expanding, then the diagnosis of penile cancer is more difficult. For patients with phimosis or excessive foreskin, if a suspected mass is touched through the foreskin, circumcision must be performed. At the same time, biopsy of the mass and pathological section examination must be performed to clarify the diagnosis. In order to clarify the metastasis of penile cancer, Inguinal lymph node biopsy or lymphangiography is feasible.