Management of Penile Cancer

摘要

Penile cancer is an uncommon tumor with a significantly higher incidence in some areas of underdeveloped countries. Unfortunately, delay on the part of the physician in initiating diagnosis may be considerable and many patients are referred to treatment after developing advanced disease. There is a large volume of data on penile cancer in Brazil. Losing patients to follow-up is common and in some areas of the country, penile cancer accounts for 17% of all malignancies in men. In these less developed areas, penile carcinoma represents one of the most important health problems. A recent epidemiological study sponsored by the Brazilian Society of Urology (SBU) gave us an idea about the complexity of the problem . For example^ the highest incidence rates of penile carcinoma were found in Maranhao and Sao Paulo. Maranhao is situated in an underdeveloped area and Sao Paulo is the richest state of the country. An explanation for this contradiction is the large migration of the poor from underdeveloped areas to Sao Paulo. The SBU and the federal government are now waging a campaign to increase early diagnosis and improve health measures in order to eradicate the disease in the future