Five patients presented with inguinal lymphadenopathy. Treatment was by posthectomy in 3, resection of the glans penis in 2, partial penectomy in 6 and total penectomy in 2. One patient showed local recurrence at a mean follow-up of 7 years. No lymph node or distant metastasis from the primary penile tumor was observed. Verrucous carcinoma of the penis shows an aggressive behavior locally, but not biologically.
Treatment continues to be by surgery.
Patients undergoing surgery aimed at organ preservation should be carefully followed. In most of the patients, early diagnosis could have avoided more aggressive surgical techniques. Physical examination showed no regional adenopathy. The diagnosis of benign papillomatous lesion versus carcinoma was considered. The tumor was excised.