Korean J Androl.  2011 Apr;29(1):88-90. 10.5534/kja.2011.29.1.88.

Penile Squamous Cell Carcinoma Diagnosed following Treatment of Urethrocutaneous Fistula after CO2 Laser Therapy for Misdiagnosed Penile Lesion: Report of a Case

• Kim YJ
• Kim SD
• Kim HJ
• Maeng YH
• Huh JS

• KMID: 2298631
• DOI: http://doi.org/10.5534/kja.2011.29.1.88

Abstract

The complications of the treatment of penile lesion are wide ranging, urethrocutaneous fistula being one of the less common. This complication affects the ventral aspect of the penis. We present a rare case of urethrocutaneous fistula after vaporization of penile lesion by CO2 Laser. One fistula was at ventral aspect of the penis. A 43-year-old male presented with passage of urine from one opening. He had undergone a vaporization by CO2 laser, 2 times. Urethrocutaneous fistula repairs was performed with biopsy of the edge of fistula site. Squamous cell carcinoma was confirmed. He subsequently underwent a partial penectomy. It is very important that biopsy was performed before vaporization of even small size skin lesion. This case is reported along with a brief review of the literature.

Keyword

Cutaneous fistula; Penile disease; CO2 laser

MeSH Terms

Adult
Biopsy
Carcinoma, Squamous Cell
Cutaneous Fistula
Fistula
Humans
Lasers, Gas
Male
Penile Diseases
Penis
Skin
Volatilization

Figure

• 

  Fig. 1. The microphotograph of biopsied tissue shows infiltrating strands and islands of neoplastic squamous cells around the fistulous tract (H&E, ×40).

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  Fig. 2. This photography shows the cutting surface of partial penectomy. A arrow indicates the site of urethrocutaneous fistula repair.

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  Fig. 3. Tissue sections from the penectomy specimen reveals well-differentiated squamous cell carcinoma (A: H&E, ×100, B: H&E, ×200).

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