joen penile cancer

8/13/2019 Joen Penile Cancer

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CASE STUDYIN

PENILE CANCER


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Penile cancer is a relatively rare squamous cellcarcinoma. It usually originates in the epithelium ofthe inner prepuce and glans. There is a tendency forearly signs to be ignored so that they often present lateand conservative surgery is impossible. Thepsychological impact of the disease is highlysignificant. The cause of penile squamous cellcarcinoma is unclear but human papillomavirus (HPV)appears to be an important causative factor.


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Cancer begins when normal cells change and growuncontrollably, forming a mass called a tumor. Atumor can be benign (noncancerous) or malignant(cancerous, meaning it can spread to other parts of thebody). Penile cancer is a rare form of cancer thatoccurs mostly in uncircumcised men (men who have aforeskin, the piece of skin covering the head of theirpenis). Circumcision is the removal of the foreskin andmay reduce the risk of penile cancer.


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DEMOGR PHIC PROFILE

Patient Name : Mr. X44 Age : 60 years old Wt : 145 lbsBirth Date : Nov. 16, 1953Civil Status : MarriedReligion : Roman CatholicNationality : FilipinoOccupation : Jeepney Driver Address : Sta. Mesa, Metro ManilaCC : Blister in the Penis Admission Date : March 2, 2013Time of Admission: 2:00 PM Attending Physician: Roberto Ibanez, MD Admitting Diagnosis: Penile UlcerationInitial V/S :BP 120/80

Temp 36.5RR 23PR 88


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HISTORY OF PRESENT ILLNESS

Patient was admitted Saturday noon March 2, 2013 with chief complaint ofitchiness and Blisters in his penis. According to him, last February 16, 2013, thepatient complains difficulty to urinate and thought it was just UTI. The nextday March 1, 2013, there was a slight enlargement on the glans of the patientspenis.

F MILY B CKGROUNDPatient 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 timehousewife. 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 ideaof how the patient acquires the disease. No family history of TB, DM, and anyother diseases aside from Hypertension.


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P ST MEDIC L HISTORY

The patient was born via normal spontaneous vaginal delivery. There were no complications orabnormalities when he was delivered. According tohim, 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; thirdtime is due to UTI when he is 24 years old ; fourth timeis due to gonorrhea when he is 36 years old and nowdue to Penile cancer stage 1.


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ANATOMY AND PHYSIOLOGY


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The penis is the external male sexual organ, as well as part of theurinary 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 ofthe penis is called the glans . At birth, the glans is covered by a piece ofskin called the foreskin , or prepuce. The foreskin is often removed ininfant boys in an operation called a circumcision.

Inside the penis are 3 chambers that contain a soft, spongynetwork of blood vessels. Two of these cylinder-shaped chambers,known as the corpora cavernosa , lie on either side of the upper part ofthe penis. The third lies below them and is known as the corpusspongiosum . This chamber widens at its end to form the glans. Thecorpus spongiosum surrounds the urethra , a thin tube that starts at thebladder and runs through the penis. Urine and semen travel throughthe urethra and leave the body through an opening in the glans of thepenis, called the meatus .


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PATHOPHYSIOLOGY


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DRUG STUDY


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DRUG STUDY

joen penile cancer

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