A 76-year-old with a diagnosis of penile cancer has been admitted to your floor. Because the incidence of penile cancer is so rare the staff educator has been asked to a staff meeting to talk about penile cancer
What risk factors would the staff educator list in her presentation? (Mark all that apply.)
A) Phimosis
B) Priapism
C) Lichen scleroticus
D) Increasing age
E) Lack of circumcision
Ans: A, D, E
Feedback: Several risk factors for penile cancer have been identified, including lack of circumcision, poor genital hygiene, phimosis, HPV, smoking, ultraviolet light treatment of psoriasis on the penis, increasing age (two-thirds of cases occur in men older than 65 years of age), lichen sclerosus, and balanitis xerotica obliterans. Priapism, a relatively uncommon disorder, is defined as a persistent penile erection that may or may not be related to sexual stimulation. Lichen scleroticus is a distracter for this question.
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