Predicting inguinal metastases in cancer penis
Objective: Is it possible to predict inguinal metastasis in penile cancer? Materials and Methods: This is a retrospective analysis of 90 cases of squamous cell carcinoma of penis. The analysis involved a study of archival specimens by a single consultant pathologist. The grade and depth of invasion...
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Wolters Kluwer Medknow Publications
2006-01-01
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doaj-ee6ca0bbe449429cb46b4ffa55d81cc02020-11-24T21:42:49ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242006-01-0122435135410.4103/0970-1591.29124Predicting inguinal metastases in cancer penisSuresh Kumar BhagatNoel WalterGanesh GopalakrishnanObjective: Is it possible to predict inguinal metastasis in penile cancer? Materials and Methods: This is a retrospective analysis of 90 cases of squamous cell carcinoma of penis. The analysis involved a study of archival specimens by a single consultant pathologist. The grade and depth of invasion of the primary tumor was studied. We tried to establish a correlation with clinical positivity as determined by physical examination, grade of primary tumor, depth of invasion and inguinal lymph node metastasis. Results: Metastatic status was known in 44 of 64 patients with clinically palpable inguinal nodes and 18 of 26 with clinically negative nodes. Of 62, 27 had lymph node metastasis in which 16 were poorly differentiated primary tumor. Inguinal lymph node metastasis was seen in six of nine (66.66%) when depth of invasion was more than 8 mm. Conclusions: In well-differentiated tumors with less than 3mm depth of invasion, active surveillance of the node could be recommended. In the rest, it may be wise in our country to offer prophylactic modified inguinal lymphadenectomy to avoid progression of disease from loss to follow-up. Morbidity can be reduced with a modified inguinal lymph node dissection in a majority and also by using principles of plastic surgery in the remainder.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2006;volume=22;issue=4;spage=351;epage=354;aulast=BhagatCancer penisinguinal node metastasislymphadenectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Suresh Kumar Bhagat Noel Walter Ganesh Gopalakrishnan |
spellingShingle |
Suresh Kumar Bhagat Noel Walter Ganesh Gopalakrishnan Predicting inguinal metastases in cancer penis Indian Journal of Urology Cancer penis inguinal node metastasis lymphadenectomy |
author_facet |
Suresh Kumar Bhagat Noel Walter Ganesh Gopalakrishnan |
author_sort |
Suresh Kumar Bhagat |
title |
Predicting inguinal metastases in cancer penis |
title_short |
Predicting inguinal metastases in cancer penis |
title_full |
Predicting inguinal metastases in cancer penis |
title_fullStr |
Predicting inguinal metastases in cancer penis |
title_full_unstemmed |
Predicting inguinal metastases in cancer penis |
title_sort |
predicting inguinal metastases in cancer penis |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Urology |
issn |
0970-1591 1998-3824 |
publishDate |
2006-01-01 |
description |
Objective: Is it possible to predict inguinal metastasis in penile cancer? Materials and Methods: This is a retrospective analysis of 90 cases of squamous cell carcinoma of penis. The analysis involved a study of archival specimens by a single consultant pathologist. The grade and depth of invasion of the primary tumor was studied. We tried to establish a correlation with clinical positivity as determined by physical examination, grade of primary tumor, depth of invasion and inguinal lymph node metastasis. Results: Metastatic status was known in 44 of 64 patients with clinically palpable inguinal nodes and 18 of 26 with clinically negative nodes. Of 62, 27 had lymph node metastasis in which 16 were poorly differentiated primary tumor. Inguinal lymph node metastasis was seen in six of nine (66.66%) when depth of invasion was more than 8 mm. Conclusions: In well-differentiated tumors with less than 3mm depth of invasion, active surveillance of the node could be recommended. In the rest, it may be wise in our country to offer prophylactic modified inguinal lymphadenectomy to avoid progression of disease from loss to follow-up. Morbidity can be reduced with a modified inguinal lymph node dissection in a majority and also by using principles of plastic surgery in the remainder. |
topic |
Cancer penis inguinal node metastasis lymphadenectomy |
url |
http://www.indianjurol.com/article.asp?issn=0970-1591;year=2006;volume=22;issue=4;spage=351;epage=354;aulast=Bhagat |
work_keys_str_mv |
AT sureshkumarbhagat predictinginguinalmetastasesincancerpenis AT noelwalter predictinginguinalmetastasesincancerpenis AT ganeshgopalakrishnan predictinginguinalmetastasesincancerpenis |
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1725916858049101824 |