Micrographic surgery and inguinal lymphadenectomy: elective therapy in carcinoma of the penis (stage I and II)

A. Gelabert Mas; O. Arango; A. Alcaraz; J. Vesa; B. Umbert; null Lladó

Micrographic surgery and inguinal lymphadenectomy: elective therapy in carcinoma of the penis (stage I and II)

A. Gelabert Mas, O. Arango, A. Alcaraz, J. Vesa, B. Umbert, Lladó

Department of Surgery

Research output: Contribution to journal › Article › Research › peer-review

Abstract

The squamous cancer of the penis has a very low incidence in our environment which means that very few centres have any cases and therefore lack any major experience. This handicap together with their treatment being divided between Urologists and Dermatologists decreases even more the number of cases seen and precludes the obtention of valid considerations. This report presents 15 cases of squamous cancer of the penis seen and followed-up for at least 5 years, and which were treated according to an established protocol in which the differential element, based in our results, is that ilial lymphadenectomy does not offer better results than chemotherapy in high-stage disease, with 33% survival, whereas in low-stage disease the use of surface and deep bilateral inguinal lymphadenectomy, in conjunction with micrographic surgery achieves survival rates of 100%. Morbidity in this case is standard (transient lymphedema, 100% patients; inguinal skin necrosis, 4% patients), while ilial lymphadenectomy has a high morbidity and some mortality.

Original language	English
Pages (from-to)	568-570
Journal	Actas urologicas españolas
Volume	15
Issue number	6
Publication status	Published - 1 Jan 1991

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@article{715e27bd13184ad3ba0013ea95baafd8,

title = "Micrographic surgery and inguinal lymphadenectomy: elective therapy in carcinoma of the penis (stage I and II)",

abstract = "The squamous cancer of the penis has a very low incidence in our environment which means that very few centres have any cases and therefore lack any major experience. This handicap together with their treatment being divided between Urologists and Dermatologists decreases even more the number of cases seen and precludes the obtention of valid considerations. This report presents 15 cases of squamous cancer of the penis seen and followed-up for at least 5 years, and which were treated according to an established protocol in which the differential element, based in our results, is that ilial lymphadenectomy does not offer better results than chemotherapy in high-stage disease, with 33% survival, whereas in low-stage disease the use of surface and deep bilateral inguinal lymphadenectomy, in conjunction with micrographic surgery achieves survival rates of 100%. Morbidity in this case is standard (transient lymphedema, 100% patients; inguinal skin necrosis, 4% patients), while ilial lymphadenectomy has a high morbidity and some mortality.",

author = "{Gelabert Mas}, A. and O. Arango and A. Alcaraz and J. Vesa and B. Umbert and Llad{\'o}",

year = "1991",

month = jan,

day = "1",

language = "English",

volume = "15",

pages = "568--570",

number = "6",

}

TY - JOUR

T1 - Micrographic surgery and inguinal lymphadenectomy: elective therapy in carcinoma of the penis (stage I and II)

AU - Gelabert Mas, A.

AU - Arango, O.

AU - Alcaraz, A.

AU - Vesa, J.

AU - Umbert, B.

AU - Lladó, null

PY - 1991/1/1

Y1 - 1991/1/1

N2 - The squamous cancer of the penis has a very low incidence in our environment which means that very few centres have any cases and therefore lack any major experience. This handicap together with their treatment being divided between Urologists and Dermatologists decreases even more the number of cases seen and precludes the obtention of valid considerations. This report presents 15 cases of squamous cancer of the penis seen and followed-up for at least 5 years, and which were treated according to an established protocol in which the differential element, based in our results, is that ilial lymphadenectomy does not offer better results than chemotherapy in high-stage disease, with 33% survival, whereas in low-stage disease the use of surface and deep bilateral inguinal lymphadenectomy, in conjunction with micrographic surgery achieves survival rates of 100%. Morbidity in this case is standard (transient lymphedema, 100% patients; inguinal skin necrosis, 4% patients), while ilial lymphadenectomy has a high morbidity and some mortality.

AB - The squamous cancer of the penis has a very low incidence in our environment which means that very few centres have any cases and therefore lack any major experience. This handicap together with their treatment being divided between Urologists and Dermatologists decreases even more the number of cases seen and precludes the obtention of valid considerations. This report presents 15 cases of squamous cancer of the penis seen and followed-up for at least 5 years, and which were treated according to an established protocol in which the differential element, based in our results, is that ilial lymphadenectomy does not offer better results than chemotherapy in high-stage disease, with 33% survival, whereas in low-stage disease the use of surface and deep bilateral inguinal lymphadenectomy, in conjunction with micrographic surgery achieves survival rates of 100%. Morbidity in this case is standard (transient lymphedema, 100% patients; inguinal skin necrosis, 4% patients), while ilial lymphadenectomy has a high morbidity and some mortality.

M3 - Article

VL - 15

SP - 568

EP - 570

IS - 6

ER -