Hidden penile squamous cell carcinoma: A case report.

Area of Science:

• Oncology
• Urology

Background:

• Penile cancer is a rare malignancy.
• It typically presents as a superficial lesion, making early detection challenging.
• Subepithelial presentation without superficial manifestation is uncommon.

Purpose of the Study:

• To report an unusual case of subepithelial penile cancer.
• To discuss the diagnostic challenges associated with this rare presentation.
• To emphasize the importance of considering deeper lesions in penile cancer diagnosis.

Main Methods:

• Case report detailing clinical presentation, diagnostic workup, and histopathological findings.
• Review of relevant literature on penile cancer and its varied presentations.

Main Results:

• A case of penile cancer originating in the subepithelial layer without superficial lesions was identified.
• Diagnostic imaging and biopsy confirmed the subepithelial nature of the malignancy.
• The patient underwent appropriate treatment based on the diagnosis.

Conclusions:

• Subepithelial penile cancer can occur without superficial manifestations, posing diagnostic challenges.
• Clinical vigilance and advanced imaging may be necessary for diagnosing rare penile cancer presentations.
• This case underscores the need to consider deeper neoplastic processes even in the absence of visible skin lesions.