Long-term oncological and surgical outcomes after Video Endoscopic Inguinal Lymphadenectomy (VEIL) in patients with penile cancer

ABSTRACT Objective: To report outcomes from the largest multicenter series of penile cancer patients undergoing video endoscopic inguinal lymphadenectomy (VEIL). Materials and Methods: Retrospective multicenter analysis. Authors of 21 centers from the Penile Cancer Collaborative Coalition-Latin America (PeC-LA) were included. All centers performed the procedure following the same previously described standardized technique. Inclusion criteria included penile cancer patients with no palpable lymph nodes and intermediate/high-risk disease and those with non-fixed palpable lymph nodes less than 4 cm in diameter. Categorical variables are shown as percentages and frequencies whereas continuous variables as mean and range. Results: From 2006 to 2020, 210 VEIL procedures were performed in 105 patients. Mean age was 58 (45-68) years old. Mean operative time was 90 minutes (60-120). Mean lymph node yield was 10 nodes (6-16). Complication rate was 15.7%, including severe complications in 1.9% of procedures. Lymphatic and skin complications were noted in 8.6 and 4.8% of patients, respectively. Histopathological analysis revealed lymph node involvement in 26.7% of patients with non-palpable nodes. Inguinal recurrence was observed in 2.8% of patients. 10y- overall survival was 74.2% and 10-y cancer specific survival was 84.8%. CSS for pN0, pN1, pN2 and pN3 were 100%, 82.4%, 72.7% and 9.1%, respectively. Conclusion: VEIL seems to offer appropriate long term oncological control with minimal morbidity. In the absence of non-invasive stratification measures such as dynamic sentinel node biopsy, VEIL emerged as the alternative for the management of non-bulky lymph nodes in penile cancer.

A New Termitophilous Rove Beetle from Brazil Suggests an Undersampling Scenario and Cospeciation between Termites and their Termitophiles in the Neotropical region (Coleoptera: Staphylinidae: Aleocharinae).

Numerous staphylinid species can be found in termite nests. While the distributional range of termite hosts has been well studied, the same cannot be said for their associated fauna. There is a lack of comprehensive sampling even in areas where termite fauna has been well-sampled. In recent surveys in Southeastern Brazil, we collected a new species of termitophilous rove beetle from the tribe Termitohospitini (Aleocharinae): Termitosocius boraceiensis sp. nov., is herein described. The new species is the first termitophile found in Boracéia, SP, Brazil, even with decades of termite sampling in the place. Additionally, we discuss the diversity and description rate of neotropical Termitohospitini, and investigate the potential of cospeciation between termites and their termitophilous beetles on the Emerson-Kistner principle. Our findings suggest that the neotropical Termitohospitini may be more diverse than previously believed and that Termitosocius species are present in host species that are geographically separated, implying a cospeciation scenario. Additional sampling is required to fully comprehend the relationships between termitophiles and their termite hosts. The outcomes of this study provide new insights into the undersampling scenario and possibly cospeciation between termites and their termitophiles in the Neotropical region.

Long-term oncological and surgical outcomes after Video Endoscopic Inguinal Lymphadenectomy (VEIL) in patients with penile cancer.

OBJECTIVE: To report outcomes from the largest multicenter series of penile cancer patients undergoing video endoscopic inguinal lymphadenectomy (VEIL). MATERIALS AND METHODS: Retrospective multicenter analysis. Authors of 21 centers from the Penile Cancer Collaborative Coalition-Latin America (PeC-LA) were included. All centers performed the procedure following the same previously described standardized technique. Inclusion criteria included penile cancer patients with no palpable lymph nodes and intermediate/high-risk disease and those with non-fixed palpable lymph nodes less than 4 cm in diameter. Categorical variables are shown as percentages and frequencies whereas continuous variables as mean and range. RESULTS: From 2006 to 2020, 210 VEIL procedures were performed in 105 patients. Mean age was 58 (45-68) years old. Mean operative time was 90 minutes (60-120). Mean lymph node yield was 10 nodes (6-16). Complication rate was 15.7%, including severe complications in 1.9% of procedures. Lymphatic and skin complications were noted in 8.6 and 4.8% of patients, respectively. Histopathological analysis revealed lymph node involvement in 26.7% of patients with non-palpable nodes. Inguinal recurrence was observed in 2.8% of patients. 10y- overall survival was 74.2% and 10-y cancer specific survival was 84.8%. CSS for pN0, pN1, pN2 and pN3 were 100%, 82.4%, 72.7% and 9.1%, respectively. CONCLUSION: VEIL seems to offer appropriate long term oncological control with minimal morbidity. In the absence of non-invasive stratification measures such as dynamic sentinel node biopsy, VEIL emerged as the alternative for the management of non-bulky lymph nodes in penile cancer.

Updated taxonomy of Syntermitinae (Blattodea: Isoptera, Termitidae), with the description of three new genera.

Herein we describe three new genera based on a previous phylogenetic analysis of the termite subfamily Syntermitinae (Termitidae), which indicated that the genera Embiratermes Fontes and Ibitermes Fontes were paraphyletic. In order to resolve this paraphyly, the genus is more narrowly circumscribed, resulting in the following taxonomic changes: Biratermes gen. n., is established to accommodate Embiratermes robustus Constantino, 1992; Vaninitermes gen. n. is described for Armitermes brevinasisus Emerson Banks, 1957 and E. ignotus Constantino, 1991; and Bandeiratermes gen. n., is proposed to accommodate Armitermes silvestrii Emerson in Snyder, 1949 and Ibitermes tellustris Constantino, 1990. In addition, E. parvirostris Constantino, 1992 is considered a new junior subjective synonym of E. ignotus, and the imago of E. ignotus is described for the first time. Descriptions and illustrations of the workers digestive tube are included for all species, along with drawings of the coiling worker gut of E. festivellus (Silvestri, 1901). Photographs are provided for the soldiers of all of the aforementioned species. The new genera are compared with all other genera of Syntermitinae.

Comparative anatomy of the gut of the South American species of Amitermes, with description of two new species and an identification key based on soldiers and workers.

In this contribution we present updates on the taxonomy and morphology of the South American species of Amitermes. Two new species are described: Amitermes bandeirai, sp. n., from Brazil, and Amitermes lilloi, sp. n., from Argentina. Amitermes nordestinus is a junior synonym of Amitermes aporema. The imago of A. aporema is described for the first time. Detailed comparative gut anatomy of the eight species is presented for the first time. The geographic distribution of Amitermes in South America is expanded and the distribution patterns of some species are discussed.

Phylogenetic reconstruction of Syntermitinae (Isoptera, Termitidae) based on morphological and molecular data.

The subfamily Syntermitinae comprises a group of Neotropical termites with 18 genera and 101 species described. It has been considered a natural group, but relationships among the genera within the subfamily remain uncertain, and some genera appear to be non-monophyletic. Here, we provide a comprehensive phylogeny including six Neotropical species of Termitinae as outgroup, 42 Syntermitinae species as ingroup, 92 morphological characters (from external and internal anatomy of soldier and worker castes) and 117 molecular sequences (109 obtained for this study and 8 from GenBank) of 4 gene regions (41 and 22 from Cytochrome Oxidase I and II respectively, 19 from Cytochrome b, and 35 from 16S rDNA). Morphological and molecular data were analyzed in combination, with the Bayesian inference method, and the important aspects of termite biology, defense and feeding habits are discussed based on the resulting tree. Although useful for providing diagnostic characters, the morphology of the soldier caste reveals several cases of convergence; whereas the feeding habit shows indications of evolutionary significance.

Redescription of the enigmatic genus Genuotermes Emerson (Isoptera, Termitidae, Termitinae).

The imago and soldier castes of the Neotropical Termitinae species Genuotermes spinifer Emerson are redescribed. The gut anatomy of the worker is described in detail for the first time, and morphological variations in the soldier are noted and illustrated. The known geographical distribution of Genuotermes spinifer is greatly expanded.

A new genus and species of mandibulate nasute termite (Isoptera, Termitidae, Syntermitinae) from Brazil.

Acangaobitermes krishnaigen. et sp. n., is described here, based on soldiers and workers collected in Brazil. Some characteristics suggest a close kinship with Noirotitermes Cancello & Myles, and both genera share the following traits absent in all other Syntermitinae: the microsculpturing on the soldier head capsule surface with internal granulations; the piercing mandibles with a single very reduced marginal tooth and the worker very similar in both genera. The most conspicuous differences between Acangaobitermes and Noirotitermes are the shape of the soldier head, the frontal tube and pronotum. The shape of the soldier head in Noirotitermes is unusual, with a very broad and short frontal tube, four conspicuous protuberances like sharp corners at the rear, while in the new genus the posterior contour of the head is devoid of these protuberances. The frontal tube of Acangaobitermes is elongate and conical, while in Noirotitermes it is short and very broad. The pronotum of Acangaobitermes is saddle-shaped as is usual in other Syntermitinae, while it is aberrant in Noirotitermes.