Carcinome verruqeux de la verge

Mr. AB, 44 years old, with no particular history. He presented for penile neoplasm which had evolved over the past year, associated with urinary symptoms such as dysuria and pollakiuria, in a state of apyrexia and conservation of his general condition. External genital examination revealed 3 fixed, exophytic, red, "cauliflower" like tumors with whitish central ulceration. The pelvic IRM showed an important infiltration of the two corpora cavernosa and urethra. Biopsies revealed well-differentiated tumor with epithelial, papillomatous proliferation and hyperkeratosis with no cytonuclear anomalies. The patient underwent total penectomy with urinary diversion by perineal urethrostomy. Anatomo-pathological examination of the surgical specimen confirmed the diagnosis of penile verrucous carcinoma of the penis. Patient’s evolution was favorable, with a follow-up period of 18 months, without local recurrence.