[PP-097]

Renal cell carsinoma in patient with penile squamous cell carsinoma: a case report

¹Health Ministry Health Sciences University, Ankara, Health Research Application Center Urology Clinic
²Gazi University Faculty of Medicine, Department of Urology

INTRODUCTION

Penis cancer is a rare malignancy, usually seen after 7th decade. Risk factors for penile cancer include poor penile hygiene, smegma accumulation, phimosis, smoking, chronic inflammation.Squamous cell carcinoma (SCC) accounts for over 95% of the penile malignancies. The surgical resection is an important part of the treatment.
Renal cell carcinoma (RCC) accounts for 2-3% of all cancers.Risk factors include genetic factors, smoking, obesity, hypertension, renal transplantation.Surgical treatment for regional tumors is preferred in the treatment.
In this case report, an approach to renal cell carcinoma and penile tumor that were determined incidentally in patient with primary penis tumor was discussed.

CASE

An 84-year-old patient presented with a painful, rigid lesion that started on the glans penis.He had a history of diabetes mellitus, chronic obstructive pulmonary disease and hypertension, 40 years smoking on the physical examination of the glans penis with a tendency to shrink the protruding penis in the glans penis (figure1).Penis magnetic resonance of the patient, there is a nodular lesion area with a diameter of approximately 11 mm, showing contrast enhancement after circumferential contrast injection and showing diffuse restriction, in the distal urethra-associated appearance at the glans penis spongiosa body level.Abdominal tomography performed before the operation for the mass in the penis revealed a solid mass with a good contrast in the right renal lower pole anterior ~ 58x48 mm, with a cystic-necrotic component in the center.Partial penectomy and laparoscopic radical nephrectomy were performed.
The pathology of partial penectomy material SCC (microinvasive,well differentiated,keratinized) surgical margin was reported as negative.Radical nephrectomy material was reported as RCC - Fuhrman Grade 1.

CONCLUSION

Urogenital multiple primary malignant tumors are usually found in the literature as case reports.Most cases are renal tumors and bladder tumor association. Penile tumors and renal tumors are reported in 2 cases.In conclusion, if an evaluation is made based on this case, patients with similar complaints with risk factors should be considered in malign conditions except for infective processes.It should be kept in mind that when patients are evaluated, in addition to existing primary malignancies, they may be present in synchronous or metachronous tumors.

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