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

Young Joo Kim; Sung Dae Kim; Hyeon Ju Kim; Young Hee Maeng; Jung Sik Huh

doi:10.5534/kja.2011.29.1.88

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

Original Article

Korean J Androl 2011;29(1):88-90.

Published online: 22 April 2011

DOI: https://doi.org/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

Young Joo Kim¹, Sung Dae Kim¹, Hyeon Ju Kim², Young Hee Maeng³, Jung Sik Huh¹

¹Departments of Urology, Jeju National University School of Medicine, Jeju, Korea

²Departments of Family Medicine, Jeju National University School of Medicine, Jeju, Korea

³Departments of Pathology, Jeju National University School of Medicine, Jeju, Korea

Correspondence to: Jung Sik Huh Department of Urology, Jeju National University School of Medicine, 1-dong, Jeju 690-756, Korea Tel: 064-717-1410, Fax: 064-717-1131 E-mail: urohjs@jejunu.ac.kr

Received 3 March 2011 Accepted 11 April 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Cutaneous fistula, Penile disease, CO₂ laser

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Fig. 1.

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

Fig. 2.

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

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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