<prompt> All are true about carcinoma penis exceptMost common type is verrocousSpreads by blood borne metastasisLeads to erosion of aerySlowly progressive  <response>: About Ca Penis Most common histological type is - sq. cell Ca 98 Erythroplasia of Queret is precancerous condition. Its the in-situ form of Ca Penis. Premalignant lesions of Ca Penis Penile cutaneous horn Balanitis xerotica obliterans Leukoplakia Viral Human papilloma virus related Dermatologic lesion Condyloma acuminata also ka genital was Bowenoid papulosis The one etiological factor most commonly associated with penile carcinoma is poor hygiene. Clinical features Age - Penile Ca occurs most commonly in the sixth decade of life, but its presentation in younger age group is not uncommon 40 of pts are under 40 years of age - Bailey Most common complaint at presentation is the lesion itself. Pain is rare. Most common site of involvement from Cambells Urology 8e, p 29.53 Glans - 48 Prepuce - 21 Both Glans Prepuce - 9 Coronal sulcus - 6 Shaft - 2 Lymph node involvement More than 50 of patients present with enlarged inguinal lymph nodes but half of these are reactive enlargement dt sepsis. The presence and the extent of metastasis to the inguinal region is the most impoant prognostic factor for survival in patients with Ca Penis. Distant metastasis is infrequent Diagnosis is made by biopsy of lesion. 