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PEDIATRICS Vol. 105 No. 3 March 2000, p. e36

ELECTRONIC ARTICLE:
The Highly Protective Effect of Newborn Circumcision Against Invasive Penile Cancer

Received Jul 16, 1999; accepted Oct 29, 1999.

Edgar J. Schoen*, Michael Oehrli, CTRddager ; Christopher J. ColbyDagger , and Geoffrey Machin§

From the Departments of * Genetics, Pediatrics, and § Pathology, Kaiser Permanente Medical Center; and Dagger  Division of Research, Kaiser Permanente Medical Care Program, Oakland, California.

Objective.  We determined the relation between newborn circumcision and both invasive penile cancer (IPC) and carcinoma in situ (CIS) among adult male members of a large health maintenance organization.

Subjects and Methods.  Circumcision status was ascertained by a combination of pathology reports, medical record review, and questionnaires for 213 adult male members of a large prepaid health plan who were diagnosed with IPC or CIS.

Results.  Of 89 men with IPC whose circumcision status was known, 2 (2.3%) had been circumcised as newborns, and 87 were not circumcised. Of 118 men with CIS whose circumcision status was known, 16 (15.7%) had been circumcised as newborns.

Conclusions.  Our results confirm the highly protective effect of newborn circumcision against IPC and the less protective effect against CIS.  Key words:  circumcision, newborn, penile neoplasms, retrospective studies.


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