Open AccessCarcinoma penis: How late can inguinal nodal metastases occur?
Author(s) -
Anil Kamath,
T. Yuvaraja,
HB Tongaonkar,
Shubhada Kane
Publication year - 2007
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.33735
Subject(s) - medicine , penis , nodal , inguinal lymph nodes , metastasis , dissection (medical) , carcinoma , lymph , penile cancer , natural history , presentation (obstetrics) , surgery , radiology , general surgery , cancer , pathology
Inguinal nodal metastasis is the single most important prognostic factor for survival in a patient with carcinoma penis. In patients without inguinal lymph nodal metastasis at presentation, options include close surveillance or prophylactic inguinal lymph nodal dissection. The majority of patients on surveillance who develop inguinal nodal metastases do so within two to three years of treatment of the primary. Here we report a case who developed inguinal nodal metastasis 10 years after the treatment of primary. This raises questions about the natural history and biology of the disease, the optimum surveillance and whether a patient of carcinoma penis can ever be considered risk-free for metastasis.