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Benefits of Urologic-Dermatologic Consultations for the Diagnosis of Cutaneous Penile Lesions: A Prospective Study

Abstract :

INTRODUCTION: We evaluated the benefits of a specialized consultation created in 2014 for cutaneous penile lesions.

MATERIALS AND METHODS: We performed a descriptive prospective study evaluating all patients sent for a monthly urologic-dermatologic consultation at a French university hospital from September 2014 to September 2015 for cutaneous penile lesions. All patients evaluated were included. We collected the demographic data, clinical examination findings, and the proposed diagnosis and treatment for every patient.

RESULTS: A total of 27 patients were included; 4 (14.8%) had been referred by a general physician and 23 (85.2%) by a specialist. Cutaneous penile lesions had evolved within 12 months in 15 patients (55.6%). Penile cancer was diagnosed in 5 patients (18.5%), of which 3 were squamous cell carcinoma (11.1%), 1 was metastasis of melanoma (3.7%), and 1 was extramammary Paget disease (3.7%). In addition, 1 patient (3.7%) had a premalignant lesion on a condyloma, 12 (44.4%) had balanitis, 2 (7.4%) had psoriasis lesions, 3 (11.1%) had condylomas, 1 (3.7%) had genital melanosis, and 3 (11.2%) had normal findings. Four patients (16.6%) underwent biopsy, 8 (33.3%) underwent surgery, and 12 (50%) received local treatment.

CONCLUSION: The use of urologic-dermatology specialized consultations resulted in encouraging findings. Patients can benefit from multidisciplinary expertise and rapid treatment of various disorders. Thus, it seems important to develop reference centers created specifically for cancerous disease.

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Contributeur : Okina Univ Angers Connectez-vous pour contacter le contributeur
Soumis le : vendredi 29 mai 2020 - 10:42:25
Dernière modification le : jeudi 20 janvier 2022 - 12:18:02




Edouard Fortier, Arnaud Cerruti, Christian Le Clec'H, Abdel Rahmene Azzouzi, Pierre Bigot. Benefits of Urologic-Dermatologic Consultations for the Diagnosis of Cutaneous Penile Lesions: A Prospective Study. Clinical Genitourinary Cancer, 2018, 16 (2), pp.e421-e424. ⟨10.1016/j.clgc.2017.09.013⟩. ⟨hal-02648912⟩



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