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Mohs micrographic surgery of penile squamous cell carcinoma in situ with urethral extension

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Abstract

Squamous cell carcinoma in situ (SCCIS) of the glans penis with urethral involvement is a rare entity that is well-suited for Mohs micrographic surgery (MMS) given its high risk of local recurrence. However, MMS in this area is technically challenging, and surgery at this site often relies on the use of meatotomy for improved tumor visualization. We describe a less invasive approach to harvesting Mohs layers of the glans penis and distal urethra that obviates the need for meatotomy. For SCCIS tumors limited to the distal urethra, this is a straightforward technique that minimizes morbidity while still benefitting from the complete margin assessment and high cure rates associated with MMS.

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Authors and Affiliations

  1. Division of Dermatology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, 540 Officenter Place, Ste 240, Columbus, OH, USA

    Kyle P. Rismiller & David R. Carr

  2. Department of Dermatology, Altru Health System, Grand Forks, ND, USA

    Kathryn T. Shahwan

  3. Department of Internal Medicine, University of North Dakota, Grand Forks, ND, USA

    Kathryn T. Shahwan

  4. Department of Dermatology, Oregon Health and Science University, Portland, OR, USA

    Wesley Y. Yu

  5. Department of Dermatology, Case Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA

    Jeremy S. Bordeaux

Authors
  1. Kyle P. Rismiller
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  2. Kathryn T. Shahwan
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  3. Wesley Y. Yu
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  4. Jeremy S. Bordeaux
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  5. David R. Carr
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Correspondence to Kyle P. Rismiller.

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Rismiller, K.P., Shahwan, K.T., Yu, W.Y. et al. Mohs micrographic surgery of penile squamous cell carcinoma in situ with urethral extension. Arch Dermatol Res 314, 983–986 (2022). https://doi.org/10.1007/s00403-021-02311-1

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  • DOI: https://doi.org/10.1007/s00403-021-02311-1

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