Glansectomy: an alternative surgical treatment for Buschke-Lowenstein tumours of the penis



We read with interest this series of four patients with Buschke-Lowenstein tumours of the glans penis, who were treated by cavernosal-sparing glansectomy. We reported the same technique used to treat a 54-year-old man with a glans Buschke-Lowenstein tumour [1]. Histopathology showed a small focus of poorly invasive squamous cell carcinoma, as well as Buschke-Lowenstein tumour. He therefore underwent bilateral superficial inguinal lymph node dissections, which were negative for cancer. Since our report the patient continues to be disease-free 62 months after surgery, and has adequate sexual function.

In addition to Buschke-Lowenstein, we found that glansectomy may be appropriate for other rare tumours of the penis or urethra, and have used it in a case of poorly differentiated angiosarcoma of the glans, and localized melanoma of the fossa navicularis [1]. Although both patients have had metastatic disease, there have been no local recurrences at > 48 months of follow-up. Glansectomy may be a consideration for small and distal T2 squamous cell carcinomas of the glans. Close follow-up is mandatory, with a low threshold for biopsy and salvage treatment for recurrent disease.