Perineal recurrence of operated penile cancer. A case report

The: authors report an unusual case of perineal recurrence of squamous carc inoma of the penis in a 50-year-old, white man, circumcised during infancy and operated 5 years previously for stage T3N0M0 squamous carcinoma of the penis by total amputation of the penis. Clinical examination revealed a ver y large, infected perineal tumour associated with bilateral inguinal lympha denopathy. This stage T4N2M0 tumour was treated palliatively by cystostomy, emasculation with perineal tumour reduction and antibiotics. The patient b ecame afebrile and the infection resolved and was referred to the radiother apy department for further treatment.