Hello, doctor. Is this lump on my penis cancer?
I have researched a lot of information and many cases state that smegma is a significant cancer-causing agent, but smegma accumulates on the skin, and I often clean it, so I don't have that concern.
Furthermore, I do not have any ulcers, which do not match the characteristics of penile cancer.
My foreskin can retract without any tightness issues, and the lump I have is not visible; it is located just beneath the sulcus and not on the glans.
There is no foul-smelling discharge.
I was previously infected with HPV.
Recently, I have noticed a few black spots at the base of my penis, but they are flat and not raised, resembling more like hyperpigmentation.
I have been using a topical treatment called "Wart Remover," and there has been significant improvement; now I can only see a little bit of HPV with reflection.
Therefore, I am not ignoring it, and I hope it won't progress to cancer.
I have been observing the lump for a short period, and there are no signs of it getting larger.
I have been busy with work and haven't been able to go to the hospital for a check-up.
I am anxious to confirm whether this could be penile cancer.
The lump is small, not larger than 1.5 cm, and I feel it has shrunk recently.
Since I have a lipoma on my arm, I suspect this lump could be a penile fibroma or a lipoma.
I would like to ask the doctor if, based on my description, it is possible to clearly determine whether this is penile cancer.
Mr. Chen, 20~29 year old female. Ask Date: 2012/11/24
Dr. Xu Weikai reply Urology
Mr.
Chen: Hello, penile cancer typically presents with local tumors, ulcers, and other manifestations.
However, in the early stages, it may only appear as small lesions on the epidermis.
Regarding the size of the tumor you mentioned: 15 cm, I believe that might be a mistake.
However, if it is 1.5 cm, that is still quite large.
Unless you meant 1.5 mm.
Please provide me with detailed measurements.
Additionally, there may also be skin lesions or skin cancer on the penis, which would present differently from penile cancer.
Note: Lipomas are rarely found on the penis.
It is best to seek medical attention as soon as possible.
If there are any unclear points, feel free to ask again so we can discuss and research further.
Online responses should only be used as a reference; it is essential to visit a healthcare facility for proper evaluation.
This message is from the Department of Urology, Taitung Hospital, Ministry of Health and Welfare, expressing our concern for you.
Response by Dr.
Hsu Wei-Kai, Chief of Urology.
Reply Date: 2012/11/24
More Info
Based on your description, it seems you have several concerns regarding a penile lump and its potential association with cancer, particularly penile cancer. It's understandable to feel anxious about any unusual changes in your body, especially when it comes to sensitive areas. Let's break down your concerns and provide some clarity.
Firstly, it's important to note that not all lumps or bumps on the penis are cancerous. Many conditions can cause lumps, including benign growths like cysts or lipomas (fatty tumors), which you mentioned having on your arm. The fact that your lump is subcutaneous (beneath the skin) and has not changed in size is a positive sign. Cancerous lumps often grow over time and may change in texture or appearance.
You mentioned that you have been infected with HPV (human papillomavirus), which is known to be associated with certain types of cancer, including penile cancer. However, the presence of HPV does not automatically mean you will develop cancer. Many people with HPV do not develop any cancerous conditions. The key is to monitor any changes and maintain regular check-ups with your healthcare provider.
Regarding the black spots you observed at the base of your penis, these could be benign skin changes, such as hyperpigmentation or even harmless moles. If they are flat and not changing, they are less likely to be a cause for concern. However, any new or changing skin lesions should be evaluated by a healthcare professional.
You also mentioned that you have been using a topical treatment for HPV, which has reduced the visibility of the lesions. This is a good sign, as effective treatment can help manage HPV-related symptoms. It's crucial to continue following up with your healthcare provider regarding your HPV status and any treatments you are undergoing.
In terms of penile cancer symptoms, typical signs may include persistent lumps, sores that do not heal, changes in the color or texture of the skin, or unusual discharge. Since you do not have these symptoms, it is less likely that your lump is cancerous. However, the best course of action is to consult with a urologist or dermatologist who specializes in penile health. They can perform a physical examination and, if necessary, imaging studies or biopsies to rule out any serious conditions.
In conclusion, while your concerns are valid, the characteristics of your lump and the absence of significant symptoms suggest that it may not be cancerous. However, it is essential to seek professional medical advice for an accurate diagnosis and peace of mind. Regular check-ups and open communication with your healthcare provider are key to managing your health effectively. Remember, early detection and intervention are crucial in addressing any potential health issues, so do not hesitate to make an appointment as soon as possible.
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