Large verrucous penis cancer in a young patient in the Brazilian Amazon: Case report and discussion on the region's reality.

Penile cancer is a rare malignant tumour top in urology, especially in developed countries or in a favourable cultural habit. However, in developing countries or with a low socio-economic population, the incidence increases considerably, as does the stage at which the patient arrives for the first care.

Male patient, 20 years old, from the interior of Amazonas - Brazil, has been referred to a Urological Service in the Emergency Room due to a vegetative lesion of approximately 10 centimetres, with an ulcerated centre and irregular borders in penile glans. An incisional biopsy was performed, which revealed invasive squamous cell carcinoma and was referred to the elective surgery service.

The socioeconomic condition of the population influences in a relevant way in cases in the Amazon region, with little and difficult access to preventive information and to the public health system, mainly in the interior of the state. Young patients tend to maintain the confidentiality of the picture that leads to the progression of the disease, with negative outcomes, requiring intense psychological monitoring.

Urology case reports. 2019 Feb 22*** epublish ***

Francisco Marcos da Silva Barroso, Cristiano Silveira Paiva, Flavio Antunes de Sousa, Gualter Ferreira de Andrade Júnior, Roger Arthur da Cunha Alves, Ketlen Gomes da Costa, Rafaelle Taynah Soares da Silva, Juan Eduardo Rios Rodriguez, Evandro Aulice de Peder Júnior

Urology service at Getúlio Vargas University Hospital (HUGV): Avenida Apurinã, 4 - Praça 14 de Janeiro, Manaus, Amazonas, 69020-170, Brazil., Getúlio Vargas University Hospital (HUGV): Avenida Apurinã, 4 - Praça 14 de Janeiro, Manaus, Amazonas, 69020-170, Brazil., General Surgery service at Getúlio Vargas University Hospital (HUGV): Avenida Apurinã, 4 - Praça 14 de Janeiro, Manaus, Amazonas, 69020-170, Brazil., Medical School of Federal University of Amazon (UFAM): Rua Afonso Pena, 1053, Praça 14 de Janeiro, Manaus, Amazonas, 69020-160, Brazil.

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