Definition
Penile mixed carcinomas harbor more than one histologic subtype and each of the subtypes should make up at least 20% of the tumor mass.
Clinical Features
Incidence
Their frequency ranges between 20% and 33% of all penile carcinomas.
Age
Tumors affect patients in the 7th decade.
Sex
Male.
Site
Most of these tumors are located in the glans. Foreskin location is rare.
Treatment
Penectomy.
Outcome
Prognosis is related to relative proportion of different components and the presence of higher histologic grade. Recurrences are present in about 20% of cases. Regional nodal metastases are rare (9%). Mixed carcinoma with component of verrucous carcinoma occasionally presents lymph node metastases, which explains the presence of metastatic cases otherwise never reported in true verrucous carcinoma. The mortality rate is low (3%) and the selection of treatment (conservative versus radical with or without groin dissection) requires careful histologic grading and assessment of perineural...
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References and Further Reading
Chaux, A., Tamboli, P., Ayala, A., Soares, F., Rodríguez, I., Barreto, J., & Cubilla, A. L. (2010). Warty-basaloid carcinoma: Clinicopathological features of a distinctive penile neoplasm. Report of 45 cases. Modern Pathology, 23(6), 896–904.
Kato, N., Onozuka, T., Yasukawa, K., Kimura, K., & Sasaki, K. (2000). Penile hybrid verrucous-squamous carcinoma associated with a superficial inguinal lymph node metastasis. The American Journal of Dermatopathology, 22(4), 339–343.
Velazquez, E. F., Ayala, G., Liu, H., Chaux, A., Zanotti, M., Torres, J., Cho, S. I., Barreto, J. E., Soares, F., & Cubilla, A. L. (2008). Histologic grade and perineural invasion are more important than tumor thickness as predictor of nodal metastasis in penile squamous cell carcinoma invading 5 to 10 mm. The American Journal of Surgical Pathology, 32(7), 974–979.
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Colecchia, M., Bertolotti, A. (2019). Penile Mixed Squamous Cell Carcinoma. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4884-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_4884-1
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Publisher Name: Springer, Cham
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