WSI23-40

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Request type Study

Subspecialty Genitourinary

Set Genitourinary

Topic Penis

Presenter Sadow, Peter M.,MD, PhD

Date and time Saturday, April 1, 2023 12:00 PM

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Case	Clinical history	Requester	Diagnosis
Case	Clinical history	Requester	Diagnosis
Case 1	57 year old male with urge incontinence and UTI with CT revealing penile glans mass	Si787	Myopericytoma (1.9 cm)
Case 2	79 year old male with hx of squamous cell carcinoma of the glans penis excised previously • with invasion of the corpora cavernosum and corpus spongiosum	Si787	Infiltrating squamous cell carcinoma • well-differentiated • keratinizing 1.6 cm periurethral corpus spongiosum. + lymphovascular invasion
Case 3	48 year old male with recurrent penile/scrotal cancer	Si787	Infiltrative squamous cell carcinoma of the penis base (8.5 cm) with positive margins (widely). HPV+ • P16+
Case 4	55 year old male with recurrent colorectal cancer tx by pelvic exenteration and colon loop urinary diversion. Palpable penile mass 2 cm from glans	Si787	Metastatic colonic adenocarcinoma. CK20+ • CDX2+ • Mucicarmine +
Case 5	85 year old male with metastatic prostte cancer and ↑ PSA	Si787	Grade 4 prostate ca met to penis
Case 6	30 year old male with 7 yr h/o gradually icreasing mid-shaft penile mass	Si787	Schwannoma with ancient-type change
Case 7	60 year old male with previously excided penile lesion in 1998. In 2004 • he had a 2 mm erythematous lesion at the coronal-shaft junction and declined excision. Now with bothersome • warty-appearing 4 mm verrucous lesion in the same location with palpable groin nodes.	Si787	Verrucous carcinoma (1.1 cm)