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WorksheetsPenile Carcinoma Quiz
Total questions: 30
Worksheet time: 15mins
The most common histologic type of penile cancer is:
Adenocarcinoma
Basal cell carcinoma
Melanoma
Squamous cell carcinoma
Carcinoma of the penis is most frequently located on the:
Shaft
Glans
Corona
Penile urethra
Which HPV type is most strongly associated with penile carcinoma?
HPV 6
HPV 11
HPV 16
HPV 31
The premalignant lesion most likely to progress to invasive squamous cell carcinoma of the penis is:
Bowenoid papulosis
Condyloma acuminatum
Erythroplasia of Queyrat
Zoon balanitis
Verrucous carcinoma of the penis is:
Highly metastatic
Low-grade with rare metastasis
Always associated with HPV 16
Treated only with chemotherapy
Which of the following is the most important prognostic factor in carcinoma of the penis?
Tumor size
Patient age
Histologic subtype
Nodal status
Which of the following is the most appropriate treatment for carcinoma in situ of the glans penis?
Partial penectomy
Topical 5-fluorouracil
Inguinal lymphadenectomy
Brachytherapy
The initial lymphatic drainage from the penis is to the:
External iliac nodes
Internal iliac nodes
Superficial inguinal nodes
Para-aortic nodes
The recommended surgical margin for partial penectomy in penile carcinoma is:
0.5 cm
1 cm
2 cm
3 cm
The most common site of distant metastasis from penile carcinoma is:
Lung
Liver
Bone
Brain
In penile carcinoma, basaloid histologic subtype is:
Low-grade with excellent prognosis
Associated with HPV and poor prognosis
HPV-negative with good prognosis
Unrelated to prognosis
Bowen's disease is:
CIS of the penile shaft skin
CIS of the glans penis
Invasive SCC of the penis
Verrucous carcinoma
Which of the following penile carcinoma variants is least likely to metastasize?
Sarcomatoid
Basaloid
Warty-basaloid
Verrucous
Inguinal lymphadenectomy is indicated in:
All patients with penile carcinoma
Patients with palpable inguinal nodes after antibiotic trial
Patients with Tis tumors
HPV-positive tumors only
The standard management for T2 penile carcinoma of the glans is:
Topical therapy
Laser excision
Partial penectomy
Total penectomy
Which imaging modality is most useful for local staging of penile carcinoma?
CT pelvis
MRI penis
Ultrasound
PET-CT
The main advantage of sentinel lymph node biopsy in penile carcinoma is:
Avoids need for penectomy
Accurate nodal staging with less morbidity
Improves tumor differentiation
Prevents local recurrence
The histologic feature associated with the poorest prognosis in penile carcinoma is:
Keratin pearls
Papillary pattern
Sarcomatoid differentiation
Verrucous pattern
The most common presentation of penile carcinoma is:
Painless ulcer or mass on the glans
Painful swelling of the shaft
Dysuria
Hematuria
Which factor is most closely linked to reduced incidence of penile carcinoma?
Condom use
Adult circumcision
Neonatal circumcision
HPV vaccination in adulthood
In carcinoma of the penis, the glans is involved in approximately:
10% of cases
30% of cases
50% of cases
80% of cases
The risk of inguinal node metastasis in T1G1 penile carcinoma is approximately:
<5%
10-15%
30-40%
60%
Which topical agent is approved for the treatment of penile carcinoma in situ?
Imiquimod
Cisplatin cream
Tamoxifen
5% salicylic acid
Which of the following is NOT a premalignant lesion of the penis?
Bowen disease
Erythroplasia of Queyrat
Bowenoid papulosis
Lichen planus
The TNM T3 stage of penile carcinoma refers to:
Invasion of corpus spongiosum
Invasion of corpus cavernosum
Invasion of urethral mucosa only
Invasion of tunica vaginalis
Which of the following is the first site of metastatic spread from penile carcinoma?
Pelvic lymph nodes
Superficial inguinal lymph nodes
Deep inguinal lymph nodes
External iliac nodes
Which of the following is true regarding verrucous carcinoma of the penis?
Highly metastatic
Poor prognosis
Often misdiagnosed as condyloma
Associated with high mortality
The most common cause of death in penile carcinoma is:
Local tumor progression
Sepsis from urinary infection
Metastatic disease to lung/liver
Renal failure
Which histologic type is most commonly associated with HPV infection?
Basaloid
Verrucous
Sarcomatoid
Papillary
Which of the following is a common complication after inguinal lymphadenectomy?
Erectile dysfunction
Lymphedema of the lower limb
Urinary incontinence
Hydrocele
