Original Research Paper

Penile Tuberculosis Masking And Delaying Diagnostic Of An Aggressive Penile Cancer During Covid 19 Pandemy

Abstract :

The purpose of this report is to highlight the special diagnostic circumstances of penile cancer masked and delayed by histologically proven penile tuberculosis during Covid-19. We report the case of a man who consulted after the development of a penile abscess associated with phimosis and chronic urogenital infection. The man, who presented with poor communication skills and complex sexual behavior, underwent posthectomy, biopsy, and excision of the abscess. Histology revealed the tubercular nature of the penile lesion. We prescribed anti-tuberculosis treatment but the penile lesions worsened, and severe pain appeared with urethral fistulas we performed a second biopsy and a cystostomy because of severe obstructive urinary disorders and a urethral fistula the second biopsy confirmed a tuberculosis lesion, so we continued the tuberculosis specific treatment. Unfortunately, we noticed a bad evolution, a third biopsy revealed a cancer after a long delay. The CT scan showed inguinal, ilioobturator and lumbo-aortic lymph node metastases. The patient's general condition continued to deteriorate, so we started chemotherapy with Carboplatin + Docetaxel. After two sessions, the patient died.

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