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Contemporary management of penile squamous cell carcinoma
Author(s) -
Kroon Bin K.,
Horenblas Simon,
Nieweg Omgo E.
Publication year - 2004
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.20170
Subject(s) - medicine , penile cancer , penis , penile carcinoma , lymphadenectomy , sentinel node , amputation , biopsy , basal cell , natural history , lymphatic system , surgery , metastasis , lymph node , general surgery , cancer , radiology , pathology , breast cancer
Squamous cell carcinoma (SCC) is the most common tumor of the penis. The natural history and its proclivity to spread via regional lymphatics has been well defined. Laser ablation of the primary tumor has a prominent role in patients with a superficial tumor as a penis‐conserving approach. Patients with deeper infiltrating tumors, should undergo (partial) penile amputation. For patients presenting with proven metastatic nodes complete (ilio‐) inguinal lymphadenectomy should be performed. During the last two decades, the management of penile carcinoma patients with impalpable regional lymph nodes has improved due to better knowledge of risks for metastases, the introduction of modified lymphadenectomy, and sentinel node biopsy. Future perspectives in penile cancer comprises continuing research to reduce mutilation without jeopardizing clinical outcome. J. Surg. Oncol. 2005;89:43–50. © 2004 Wiley‐Liss, Inc.