A review of primary malignant penile neoplasms at Kenyatta National Hospital over a 20 year period (January 1970 - January 1989)
Abstract
Primary malignant neoplasms of the penis are rare in this
country. A total of 20 patients were seen at Kenyatta
National Hospital between January 1970 and January 1989 and all
were histologically havinq squamous cell carcinoma of varying
grades. Total number of malignancies reported over this period
was 29,218, hence penile malignancy accounted for 0.1% of all
malignancies.
The peak age incidence was 31-60 years with a mean age of 50.
74.4% of the patients were not circumcised and 51.6% of the
patient.s presented \\fit.h signs and symptoms of over one year
duration. The commonest presenting sign was a penile
ulceration commonest on the glans penis. 24.1% of the patients
presented with clinical low-stage (Jackson Stage I) while 75.9%
patients with clinical high-stage (Jackson Stage II and above)
carcinoma of the penis.
Four patients were offered no definitive treatment either due
to advanced" disease, refusal or died before any form of
treatment was instituted. Eighteen patients were offered
surgery followed by radiotherapy and/or chemotherapy. Eleven
patients were lost for follow-up while seven were alive after
one year, three after two years and three for more than two
years.
Citation
Masters of MedicinePublisher
University of Nairobi School of Medicine