Photodynamic therapy with hematoporphyrin derivative for the treatment of penile verrucous carcinoma: A case report

Verrucous carcinoma, a well-differentiated variant of squamous cell carcinoma with low-grade malignancy, is often associated with localized human papillomavirus (HPV) infection and excessive penile foreskin. We report a 45-year-old male who presented with a verrucous plaque on the glans penis for ov...

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Main Authors: Runqun Liu, Xiaoqing Xiang, Yanliang Li, Guozhang Ma, Junhong Ye
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Photodiagnosis and Photodynamic Therapy
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Online Access:http://www.sciencedirect.com/science/article/pii/S1572100024004745
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author Runqun Liu
Xiaoqing Xiang
Yanliang Li
Guozhang Ma
Junhong Ye
author_facet Runqun Liu
Xiaoqing Xiang
Yanliang Li
Guozhang Ma
Junhong Ye
author_sort Runqun Liu
collection DOAJ
description Verrucous carcinoma, a well-differentiated variant of squamous cell carcinoma with low-grade malignancy, is often associated with localized human papillomavirus (HPV) infection and excessive penile foreskin. We report a 45-year-old male who presented with a verrucous plaque on the glans penis for over four months, along with itching. Examination revealed a verrucous, erosive lesion with a cauliflower-like surface, firm texture, and irregular shape, accompanied by pain, bleeding, and a foul odor. Syphilis and HIV tests were negative, and a biopsy confirmed verrucous carcinoma.The patient underwent initial circumcision at a local hospital, but persistent lesions raised concerns about further surgery impairing sexual function and anatomical integrity. To preserve both anatomical and functional integrity, the patient opted for Hematoporphyrin Derivative-Photodynamic Therapy (HpD-PDT). Post-treatment, the lesions regressed, and after four years of follow-up, there was no scarring or recurrence. The clinical outcome was favorable with complete lesion regression.We propose that PDT is a viable treatment option for penile verrucous carcinoma, offering advantages over traditional methods in terms of function preservation and cosmetic outcomes.
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id doaj-art-01abcc6de3d94eef890f9c6e6d26662f
institution Kabale University
issn 1572-1000
language English
publishDate 2025-02-01
publisher Elsevier
record_format Article
series Photodiagnosis and Photodynamic Therapy
spelling doaj-art-01abcc6de3d94eef890f9c6e6d26662f2025-02-01T04:11:42ZengElsevierPhotodiagnosis and Photodynamic Therapy1572-10002025-02-0151104438Photodynamic therapy with hematoporphyrin derivative for the treatment of penile verrucous carcinoma: A case reportRunqun Liu0Xiaoqing Xiang1Yanliang Li2Guozhang Ma3Junhong Ye4Heilongjiang University of Chinese Medicine,Harbin City, Heilongjiang Province, ChinaHeilongjiang University of Chinese Medicine,Harbin City, Heilongjiang Province, ChinaBeijing University of Chinese Medicine Shenzhen Hospital (Longgang), Shenzhen City, ChinaHeilongjiang Provincial Hospital, dermatology department, Harbin City, Heilongjiang Province, ChinaThe Fifth People's Hospital of Hainan Province,Haikou City, Hainan Province, China; Corresponding author.Verrucous carcinoma, a well-differentiated variant of squamous cell carcinoma with low-grade malignancy, is often associated with localized human papillomavirus (HPV) infection and excessive penile foreskin. We report a 45-year-old male who presented with a verrucous plaque on the glans penis for over four months, along with itching. Examination revealed a verrucous, erosive lesion with a cauliflower-like surface, firm texture, and irregular shape, accompanied by pain, bleeding, and a foul odor. Syphilis and HIV tests were negative, and a biopsy confirmed verrucous carcinoma.The patient underwent initial circumcision at a local hospital, but persistent lesions raised concerns about further surgery impairing sexual function and anatomical integrity. To preserve both anatomical and functional integrity, the patient opted for Hematoporphyrin Derivative-Photodynamic Therapy (HpD-PDT). Post-treatment, the lesions regressed, and after four years of follow-up, there was no scarring or recurrence. The clinical outcome was favorable with complete lesion regression.We propose that PDT is a viable treatment option for penile verrucous carcinoma, offering advantages over traditional methods in terms of function preservation and cosmetic outcomes.http://www.sciencedirect.com/science/article/pii/S1572100024004745Verrucous carcinomaHematoporphyrin injectionPhotodynamic therapy
spellingShingle Runqun Liu
Xiaoqing Xiang
Yanliang Li
Guozhang Ma
Junhong Ye
Photodynamic therapy with hematoporphyrin derivative for the treatment of penile verrucous carcinoma: A case report
Photodiagnosis and Photodynamic Therapy
Verrucous carcinoma
Hematoporphyrin injection
Photodynamic therapy
title Photodynamic therapy with hematoporphyrin derivative for the treatment of penile verrucous carcinoma: A case report
title_full Photodynamic therapy with hematoporphyrin derivative for the treatment of penile verrucous carcinoma: A case report
title_fullStr Photodynamic therapy with hematoporphyrin derivative for the treatment of penile verrucous carcinoma: A case report
title_full_unstemmed Photodynamic therapy with hematoporphyrin derivative for the treatment of penile verrucous carcinoma: A case report
title_short Photodynamic therapy with hematoporphyrin derivative for the treatment of penile verrucous carcinoma: A case report
title_sort photodynamic therapy with hematoporphyrin derivative for the treatment of penile verrucous carcinoma a case report
topic Verrucous carcinoma
Hematoporphyrin injection
Photodynamic therapy
url http://www.sciencedirect.com/science/article/pii/S1572100024004745
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