Talk:Penile cancer

message: Prove me wrong.  Is is it due to some sort of fear that it will upset a predominantly female audience?Godofredo29 (talk) 00:49, 15 May 2013 (UTC)
thread_title: Broadcast media have never presented a story about penile cancer

message: The American Medical Association and the Royal Australasian College of Physicians say the use of infant circumcision to prevent penile cancer in adult men is not justified.
*"Nevertheless, because this disease is rare and occurs later in life, the use of circumcision as a preventive practice is not justified." -- American Medical Association. Neonatal Circumcision. Dec 1999.
*"Penile cancer is a rare disease with an incidence of around 1 per 100,000 in developed countries. Even though the evidence suggests neonatal circumcision may reduce the risk ten-fold, the rarity of the condition is such that universal circumcision is clearly not justified on these grounds." -- The Royal Australasian College of Physicians. Policy Statement On Circumcision. Sep 2002.
DanBlackham 08:54, 30 Sep 2004 (UTC)
thread_title: AMA and RACP on circumcision and penile cancer

message: Penile cancer is rare according to the following organizations:
*American Cancer Society: "Penile cancer is very rare in North America and Europe."
*American Academy of Pediatrics: "Cancer of the penis is a rare disease; the annual age-adjusted incidence of penile cancer is 0.9 to 1.0 per 100 000 males in the United States. In countries where the overwhelming majority of men are uncircumcised, the rate of penile cancer varies from 0.82 per 100 000 in Denmark to 2.9 to 6.8 per 100 000 in Brazil93 and 2.0 to 10.5 per 100 000 in India."
*American Medical Association: "Penile cancer is a rare disease in the United States (0.9 to 1 per 100,000)."
*The Royal Australasian College of Physicians: "Carcinoma of the penis is a rare condition, with an annual incidence of approximately 1:100,000 men in developed countries, regardless of whether there is a high or a low circumcision rate."
In my opinioin article should include a sentence that says penile cancer is rare in developed countries. -- DanBlackham 22:53, 30 Sep 2004 (UTC)
thread_title: Penile cancer is rare

message: Robert added the word "alone" to the following sentence.
:"The American Medical Association and the Royal Australasian College of Physicians say the use of infant circumcision to prevent penile cancer alone in adult men is not justified."
However in my opinion the following quotes from The Royal Australasian College of Physicians Policy Statement On Circumcision do not support that addition.
*"After extensive review of the literature the RACP reaffirms that there is no medical indication for routine male circumcision." (emphasis in original document)
*"The possibility that routine circumcision may contravene human rights has been raised because circumcision is performed on a minor and is without proven medical benefit."
*"Review of the literature in relation to risks and benefits shows there is no evidence of benefit outweighing harm for circumcision as a routine procedure."
DanBlackham 09:10, 1 Oct 2004 (UTC)
thread_title: The Royal Australasian College of Physicians policy on circumcision

message: There should be a list of signs and symptoms associated with penile cancer on this page. Scorpionman 12:51, 5 October 2005 (UTC)
replies: text: In particular, is a freckle on the glans a cancer symptom?  —Preceding unsigned comment added by 69.3.11.167 (talk) 20:00, 12 April 2009 (UTC)

text: More along the lines of sores and redness...are they necessarily a symptom or could they be something else too? Scorpionman (talk) 14:58, 29 August 2009 (UTC)
thread_title:  evidence 

message: This article is messy, particularly the Risk section. It looks ridiculous to have 6 or 7 sources cited for one sentence, and to have sentences contradicting each other and with the same information being repeated several times. This article should not be a verbatim record of a debate. It should represent a synthesis of the available reliable sources, presenting opposing arguments without undue weight. -- Donald Albury 11:47, 19 October 2006 (UTC)
thread_title:  Cleanup 

message: The risk section should be changed as it devotes all of the space to circumcision then ends with a statement saying that circumcision isn't the main factor.Tremello22 (talk) 23:30, 20 June 2008 (UTC)
thread_title: Risk

message: MurasakiSunshine has again removed lack of circumcision as a risk factor, claiming "Promoting lack of circumcision as a risk factor is like promoting lack of mastectomy as a risk factor for breast cancer or lack of appendectomy is a risk factor for appendicitis".
The meaning of this is unclear, but it appears to be that MurasakiSunshine disagrees that it's a risk factor.  The important question, though, is what WP:RS say on the subject.  I've just searched the PubMed database for "penile cancer risk factor", limiting results to reviews.  On the first page alone I found multiple papers identifying lack of circumcision as a risk factor: "the risk factors most strongly associated with penile cancer are lack of neonatal circumcision..." "Men circumcised in childhood/adolescence are at substantially reduced risk of invasive penile cancer" "The author reviews several major investigations from the past 35 years and finds that men with certain risk factors (eg, intact foreskin..." "neonatal circumcision reduces the relative risk for the disease"  It is difficult to think of a justification for excluding it. Jakew (talk) 17:04, 22 March 2012 (UTC)
thread_title: Lack of circumcision as a risk factor

message: :The following discussion is an archived discussion of a requested move. Please do not modify it. Subsequent comments should be made in a new section on the talk page. Editors desiring to contest the closing decision should consider a move review. No further edits should be made to this section. 
The result of the move request was: page moved by Metropolitan90. As the relister, I was not 100% sure that a title had been agreed upon, other than the fact that the current title needed to be changed. However, since this moved has been performed, consensus must have been clearer than I had originally seen. (non-admin closure) Steel1943 (talk) 04:48, 11 November 2013 (UTC)
replies: text: Carcinoma of the penis →  – Penile cancer is actually a much more common name for this condition (see http://scholar.google.com), especially in recent publications. I do not understand why it was renamed to the current title in 2006. --Relisted. Steel1943 (talk) 04:26, 7 November 2013 (UTC)

text: The MeSH term is "Penile Neoplasm", ICD-10 calls it "malignant neoplasm" or "carcinoma in situ" depending, the American Cancer Society's general term is "Penile Cancer".  Not sure what the clear direction is here... will notify WP:MEDICINE. Zad68 19:20, 30 October 2013 (UTC)
replies: text: Wouldn't carcinoma of the penis be a type of penile cancer? Assume there are other types of malignancy that can occur on/in the penis, although probably v rare, sarcomas etc. Having said that, if carcinoma is by far the most common penile cancer, then support rename to the more general term, although a short section delineating other rare types would be then be needed. Lesion (talk) 23:49, 30 October 2013 (UTC)
replies: text: It appears that practically all penile cancers are carcinomas. Rare exceptions are melanomas and sarcomas. Ruslik_Zero 19:40, 31 October 2013 (UTC)

text: Agree and per the comment above, the rarer variants of cancer (sarcoma, etc.) should also be noted. LT910001 (talk) 00:16, 2 November 2013 (UTC)
replies: text: Ruslik0 kindly added some notes about the rarer types I understand. Looks like this move is OK to go ahead now. Lesion (talk) 12:18, 4 November 2013 (UTC)

text: Agree as long as everybody understands that we're not only just changing the title of the article with this move, but we're actually expanding the scope of this article to no longer cover just carcinoma of the penis but all forms of penile cancer.  That's fine.  If/when at some point in the future we have enough content covering one of the penile cancer subtypes to break off into its own article, we'll do it at that time in a manner compliant with WP:SUMMARY.  Zad68 13:40, 4 November 2013 (UTC)

text: The above discussion is preserved as an archive of a requested move.  Please do not modify it. Subsequent comments should be made in a new section on this talk page or in a move review. No further edits should be made to this section.
removed "lowest rate of penile cancer is in Israel"
reason- no citation.  — Preceding unsigned comment added by 188.162.64.14 (talk) 16:16, 24 June 2017 (UTC)
thread_title: Requested move

message: Hello, we are a group of medical students editing this page as part of our class assignment. We have compiled a list of suggestions to improve this article and would appreciate community feedback before we proceed with these edits. Here is a list of our suggestions:
===1. Signs and symptoms===
We propose to modify Signs and Symptoms. Our proposed paragraph is as follows:
“Penile cancer can present as redness and irritation on the penis with a skin thickening on the glans or inner foreskin or an ulcerative, outward growing (exophytic) or “finger-like” (papillary) growth[1][2]. Penile cancer may accompany penile discharge with or without difficulty or burning or tingling while urinating (dysuria) and bleeding from the penis[1][2].”
We noticed the original point form presentation is clunky and reads as a required list rather than inclusive. Citation 5 is a dead link, citation 6 is a general link to Cancer Research UK. Although cancer research UK may be an appropriate source for Wiki WP:MEDRS it is improperly linked. 
We propose to remove the following:
"•	Redness of the penis[5]
•	Rash on the penis[5][6]
•	Foul smelling discharge from the penis[5][6]
•	Pain in the penis[5]
•	Growth or sore on the penis that doesn't heal within four weeks (may look like a wart, ulcer, or blister), may or may not be painful[6]
•	Bleeding from the penis or from under the foreskin[6]
•	Change in color of the penis[6]
•	Phimosis[6]”
ref name="1"></ref
ref name="2"></refCreateAccountUsernameHelpmechooseConfirm (talk) 00:53, 24 November 2020 (UTC)
replies: text: Thanks for these suggestions. Do you mind adding the citations using the tool that we used in class? It is fine for the talk page, but please practice for Monday so that you can do it properly in the actual Wikipedia article while editing. Great work so far!JenOttawa (talk) 04:46, 5 December 2020 (UTC)
replies: text: Please note the placement of your citations, after the punctuation, not before! I know this is a little picky, we are definitely not marking these types of things, but when you edit on Monday please keep this in mind in order that the final Wikipedia article is formatted correctly. It should look like this after it is added via the citation tool, with no spaces.[1][2]JenOttawa (talk) 14:03, 5 December 2020 (UTC)
replies: text: If you plan to re-use your citation more than once in the article: When you add your references while editing the actual article, you can see the options "automatic Manual Re-use". The first time you add the citation (if it is not already used in an article, click "automatic" and add your PMID, DOI, or website, then click "generate" to fill the template. The second time you want to use the same citation in an article, click "re-use" and search for your citation in the list. This adds in the a,b,c versus duplicating the citation in the list. If possible, practice this in your sandbox before editing live on Monday. Thanks again!JenOttawa (talk) 14:08, 5 December 2020 (UTC)

text: Hi! Please add all your citations (textbook included) using the tools that we practiced in class. Does your book have a ISBN? Also, if page #s are available from the text book (not all are), please include the page numbers of where you found the evidence. If you are unsure please reach out and/or practice in your sandbox!JenOttawa (talk) 04:46, 5 December 2020 (UTC)

text: Thanks for sharing this. your group is doing well. Please add this citation using the tool (paste your PMID/DOI and click "generate" so it is formatted wiki style.JenOttawa (talk) 04:46, 5 December 2020 (UTC)
thread_title:  Penile Cancer medical student updates  

message: We propose to modify Signs and Symptoms. Our proposed paragraph is as follows:
“Penile cancer can present as redness and irritation on the penis with a skin thickening on the glans or inner foreskin or an ulcerative, outward growing (exophytic) or “finger-like” (papillary) growth[1][2]. Penile cancer may accompany penile discharge with or without difficulty or burning or tingling while urinating (dysuria) and bleeding from the penis[1][2].”
We noticed the original point form presentation is clunky and reads as a required list rather than inclusive. Citation 5 is a dead link, citation 6 is a general link to Cancer Research UK. Although cancer research UK may be an appropriate source for Wiki WP:MEDRS it is improperly linked. 
We propose to remove the following:
"•	Redness of the penis[5]
•	Rash on the penis[5][6]
•	Foul smelling discharge from the penis[5][6]
•	Pain in the penis[5]
•	Growth or sore on the penis that doesn't heal within four weeks (may look like a wart, ulcer, or blister), may or may not be painful[6]
•	Bleeding from the penis or from under the foreskin[6]
•	Change in color of the penis[6]
•	Phimosis[6]”
ref name="1"></ref
ref name="2"></refCreateAccountUsernameHelpmechooseConfirm (talk) 00:53, 24 November 2020 (UTC)
replies: text: Thanks for these suggestions. Do you mind adding the citations using the tool that we used in class? It is fine for the talk page, but please practice for Monday so that you can do it properly in the actual Wikipedia article while editing. Great work so far!JenOttawa (talk) 04:46, 5 December 2020 (UTC)
replies: text: Please note the placement of your citations, after the punctuation, not before! I know this is a little picky, we are definitely not marking these types of things, but when you edit on Monday please keep this in mind in order that the final Wikipedia article is formatted correctly. It should look like this after it is added via the citation tool, with no spaces.[1][2]JenOttawa (talk) 14:03, 5 December 2020 (UTC)
replies: text: If you plan to re-use your citation more than once in the article: When you add your references while editing the actual article, you can see the options "automatic Manual Re-use". The first time you add the citation (if it is not already used in an article, click "automatic" and add your PMID, DOI, or website, then click "generate" to fill the template. The second time you want to use the same citation in an article, click "re-use" and search for your citation in the list. This adds in the a,b,c versus duplicating the citation in the list. If possible, practice this in your sandbox before editing live on Monday. Thanks again!JenOttawa (talk) 14:08, 5 December 2020 (UTC)
thread_title: 1. Signs and symptoms

message: The current information about radiation therapy in the “Treatment” section of the Wikipedia page inaccurately discusses the use of radiation therapy during different stages of penile cancer. Therefore, it is proposed that the sentence discussing radiation therapy in the article be changed/replaced with a sentence providing specific, accurate details as to how radiation therapy is used in clinical practice. 
Proposed change: “Adjuvant radiation therapy is recommended for treating late-stage penile cancer, such as when it has spread to nearby structures like the internal chambers of the penis, scrotum, pubic bone, and the prostate.[reference # here]”
This will replace the sentence in the “Treatment” section of the Wikipedia article discussing adjuvant radiation therapy: "Radiation therapy is usually used adjuvantly with surgery to reduce the risk of recurrence. With earlier stages of penile cancer, a combination of topical chemotherapy and less invasive surgery may be used. More advanced stages of penile cancer usually require a combination of surgery, radiation and chemotherapy."
Additionally, we propose to insert the following content into the Treatment section: (user: 12ns59)
Proposed change: “Treatment of penile cancer will vary depending on the clinical stage of the tumor at the time of diagnosis. The gold standard for treatment of primary penile tumors is surgical removal.”Engelsgjerd, J. S., & LaGrange, C. A. (2020). Penile Cancer. In StatPearls. StatPearls Publishing.
The citation to be added to this section is:
Engelsgjerd, J. S., & LaGrange, C. A. (2020). Penile Cancer. In StatPearls. StatPearls Publishing.
Rationale: Treatment of penile cancer depends on the stage of the tumour and this should be directly emphasized at the very start of the treatment section. Additionally, we did not notice any citations in this section so adding a secondary source will improve credibility. Thank you. We appreciate your time and welcome any feedback or suggestions. Symonds.n (talk) 16:51, 3 December 2020 (UTC)
replies: text: Hi! Please add all your citations (textbook included) using the tools that we practiced in class. Does your book have a ISBN? Also, if page #s are available from the text book (not all are), please include the page numbers of where you found the evidence. If you are unsure please reach out and/or practice in your sandbox!JenOttawa (talk) 04:46, 5 December 2020 (UTC)
thread_title: 2.Treatment

message: Finally, the Diagnosis section does not currently include any information on what tests are used to confirm the presence of penile cancer in patients. Therefore, we propose to insert the following statement into the Diagnosis section:
Proposed change: "The International Society of Urological Pathology (ISUP) recommends the use of p16INK4A immunostaining for the diagnosis and classification of HPV-related penile cancer."
<ref></ref Lebrongoated (talk) 01:41, 5 December 2020 (UTC)
replies: text: Thanks for sharing this. your group is doing well. Please add this citation using the tool (paste your PMID/DOI and click "generate" so it is formatted wiki style.JenOttawa (talk) 04:46, 5 December 2020 (UTC)
thread_title: 3. Diagnosis