抄録
We report a case of penile carcinoma of a 67 years old man. A 2cm-sized gradually enlarging penile ulcerative tumor was observed, that was accompanied by scrotal swelling. Histopathology revealed well differentiated squamous cell carcinoma with focal detection of human papilloma virus antigen. The patient was assessed to be clinical stage IV of UICC-TNM classification. Following chemotherapy (BLM 30mg, MTX 70mg, CDDP 50mg), total penectomy was performed and tissue defect was covered with scrotal skin. Bilateral regional lymphadenectomy disclosed two metastatic left inguinal lymph nodes. The patient showed no evidence for local recurrence, but died for lung metastasis. [Skin Cancer (Japan) 2000; 15: 61-65]