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Penile cancer develops as a painless process, and its most common presentation is ulcer over the glans or prepuce, rarely it occurs on the penile shaft , but its diffusion until the self-amputation is a rare occurence both because it is noticed early on by the patient, and because of the presence of an anatomical barrier constituted by the Buck’s fascia that prevents a rapid dissemination. Surgery, radiotherapy and chemotherapy lead to a survival of around 52% at 5 years, but, in untreated patients, it decreases to 6% [2, 3]. In our case, chemo or radiotherapy was not indicated due to extensive metastases of the liver, so palliative care was given, but the patient died a few weeks after the formal diagnosis was made.
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- 3.Pettaway CA, Lynch DF, Davis JW (2007) Tumors of the penis. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA (eds) Campbell-Walsh urology, 9th edn. Saunders, Philadelphia, pp 959–992Google Scholar