Prise en charge diagnostique et thérapeutique des tumeurs de verge: A propos de deux cas avec revue de la littérature

Le carcinome epidermoide de la verge est rare, car il represente moins de 1% des cancers de l\'homme adulte. L\'etiologie de ce cancer reste inconnue, mais il existe plusieurs facteurs favorisants, notamment le virus HPV. Les auteurs rapportent deux cas de tumeurs infiltrantes de verge. Le premier cas concerne un patient qui presentait une tumeur du gland de 5 cm et qui a beneficie d\'une amputation distale de la verge. Le deuxieme cas concerne un patient qui presentait une tumeur fistulisee a la face ventrale de la verge. Une emasculation associee a une lymphadenectomie inguinale bilaterale a ete realisee et compliquee d\'une lymphorrhee spontanement resolutive. Le traitement de reference des tumeurs de verge est chirurgical et peut etre selon les cas une biopsie exerese, une amputation partielle voire totale de la verge avec uretrostomie perineale definitive. Squamous cell carcinoma of the penis is rare, representing less than 1% of all adult cancers. The etiology of this cancer is still unknown, but many risk factors have been suggested, above all the human papilloma virus. The authors describe two cases of infiltrating penile tumors. The first patient presented with a glandular tumor of 5 cm which was treated by a distal penile amputation. The second patient had a ventrally located penile tumor associated with a urethral fistula. He was subjected to total penectomy with bilateral inguinal lymphadenectomy. Postoperatively, he developed lymphorrhea which resolved spontaneously. Surgery remains the treatment of choice for penile tumors and consists – depending on the case – of wide excision, partial or total penectomy with perineal urethrostomy. Keywords : carcinome epidermoide du penis, cancer du penis, penectomie African Journal of Urology Vol. 13 (3) 2007: pp. 236-241