Features of carcinoma penis are all except:
**Core Concept**
Carcinoma of the penis is a type of malignant tumor that arises from the skin or mucous membranes of the penis. It is a relatively rare disease, but its incidence is increasing in developed countries, possibly due to the human papillomavirus (HPV) infection.
**Why the Correct Answer is Right**
The correct features of carcinoma of the penis include its predilection for the glans penis, foreskin, and prepuce. It often presents as a painless, non-healing ulcer or a mass, which may be accompanied by lymphadenopathy. The disease is strongly associated with HPV infection, particularly types 16 and 18, which are also implicated in cervical cancer.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because carcinoma of the penis is not typically associated with smoking. While smoking is a major risk factor for many cancers, including lung, head and neck, and bladder cancer, its role in penile cancer is less clear.
**Option B:** This option is incorrect because carcinoma of the penis is not typically characterized by a long history of phimosis or paraphimosis. While foreskin conditions may contribute to the development of penile cancer, they are not a primary feature of the disease.
**Option C:** This option is incorrect because carcinoma of the penis is not typically associated with a strong family history. While some cancers may have a familial component, penile cancer is not typically considered a hereditary disease.
**Clinical Pearl / High-Yield Fact**
A key risk factor for penile cancer is phimosis, particularly if it is associated with chronic inflammation or infection.
**Correct Answer: D.**