Surgical treatment of invasive penile cancer--the Heidelberg experience from 1968 to 1994.
Eur Urol
; 31(3): 339-42, 1997.
Article
em En
| MEDLINE
| ID: mdl-9129927
ABSTRACT
OBJECTIVES:
This study was performed to establish oncological guidelines for the surgical treatment of invasive penile cancer. MATERIALS ANDMETHODS:
The medical records of 51 patients with invasive penile cancer seen between 1968 and 1994 were reviewed in respect to treatment and long-term outcome.RESULTS:
For stage T1 tumors treated with organ-preserving procedures the local recurrence rats was 56%, whereas no patient experienced a local recurrence after partial amputation. For stage T2 tumors, local recurrence rate was 100% (organ preservation) versus 20% (amputative procedures). There was no significant difference related to regional recurrence between surveillance, inguinal radiation and lymphadenectomy for stage N0 tumors. For N+ stages, survival was related to the extent of inguinal metastasis after dissection (5-year survival rate for N1 71 vs. 33% for N2/3).CONCLUSIONS:
Organ-preserving procedures include a high risk of local and regional recurrence. Adjuvant regional lymphadenectomy seems beneficial only in patients with solitary metastasis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Penianas
/
Carcinoma de Células Escamosas
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Eur Urol
Ano de publicação:
1997
Tipo de documento:
Article
País de afiliação:
Alemanha