Regional metastases of penile cancer: optimal treatment policy
- Authors: Matveev BP1, Matveev VВ1, Khalafian EA1, Volkova MI1, Gurary LL1
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Affiliations:
- Issue: No 4 (2004)
- Pages: 19-23
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/275231
- ID: 275231
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Abstract
Emergence of regional penile cancer (PC) metastases reduces late
survival of PC patients from 94.4 to 83.9%. PC stage can hardly be
diagnosed by clinical data significantly. Bilateral inguinal lymphadenectomy
is indicated for all PC patients with enlarged and clinically
negative regional lymph nodes in poorly differentiated primary
tumor (G3) and stages T2-3. Follow-up can be recommended for patients
with stage Tis-Tl, low and moderate anaplasia (Gl-2) of the
primary tumor. Metastases to the iliac lymph nodes are an indication
to pelvic lymphadenectomy. Preventive removal of the iliac lymph
nodes in intact inguinal ones is not justified. Unremovable fixed regional
lymph nodes should be exposed to radiotherapy.
survival of PC patients from 94.4 to 83.9%. PC stage can hardly be
diagnosed by clinical data significantly. Bilateral inguinal lymphadenectomy
is indicated for all PC patients with enlarged and clinically
negative regional lymph nodes in poorly differentiated primary
tumor (G3) and stages T2-3. Follow-up can be recommended for patients
with stage Tis-Tl, low and moderate anaplasia (Gl-2) of the
primary tumor. Metastases to the iliac lymph nodes are an indication
to pelvic lymphadenectomy. Preventive removal of the iliac lymph
nodes in intact inguinal ones is not justified. Unremovable fixed regional
lymph nodes should be exposed to radiotherapy.
References
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