726: Squamous Cell Carcinoma of the Penis: A Contemporary Review of Lymph Node Disease

Nelson, Bradford A.; Cookson, Michael S.; Smith, Joseph A.; Shappell, Scott B.; Chang, Sam S.

doi:10.1016/s0022-5347(18)35958-5

Cited by 2 publications

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“…Wird bei ini ti al kon ser va ti ven Vor ge hen zu einem spä te ren Zeit punkt eine Lymph adenek to mie we gen tast ba rer Lymph kno ten durch ge führt, so ist die Prog no se sig ni fikant schlech ter als bei pri märer Lymphaden ek to mie [23].…”

Section: Tech Nik Der Lymph Aden Ek To Mieunclassified

Lymphadenektomie beim Peniskarzinom

Borchers

Jakse

2005

Urologe [A]

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Lymphadenectomy is an essential part of diagnosis and treatment of the squamous cell carcinoma of the penis. Lymphadenectomy is performed depending on various characteristics of penile cancer such as depth of invasion, tumor grade, invasion into the corpora cavernosa, invasion into vascular and lymphatic vessels. In case the inguinal lymphnodes are not palpable a modified lymphadenectomy is indicated. The limits of lymphadenectomy are extended to the radical type of dissection when the frozen section indicates cancer. Inguinal lymphadenectomy is always performed on both sides. Are more than 2 nodes positive the lymphnodes in the true pelvis have to be resected as well. The dynamic sentinel lymphnode dissection may replace the modified approach in case randomized prospective studies will confirm the initial positive results and morbidity can be reduced as well. The immediate lymphadenectomy is superior to the delayed lymphadenectomy (palpable nodes during followup) in terms of local recurrence and survival. According to the risk profile patients with palpable inguinal lymphnodes can be initially managed conservatively. In case the lymphnodes remain palpable, lymphadenectomy is indicated. In this situation it is reasonable to perform imaging studies of the pelvis and abdomen for adequate planning of the surgical approach. Neoadjuvant chemotherapy is reasonable for patients with bulky nodes fixed to the skin or fascia because this improves respectability, freedom from local recurrence and increases survival. Adjuvant chemo- and/or radio-therapy are reserved for extended disease or palliative situations.

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Section: Tech Nik Der Lymph Aden Ek To Mieunclassified

Lymphadenektomie beim Peniskarzinom

Borchers

Jakse

2005

Urologe [A]

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Der Stellenwert der Lymphknotenchirurgie beim Peniskarzinom

Angerer-Shpilenya

Jakse

2008

Urologe

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Inguinal lymphadenectomy is performed according to the clinical features as well as the risk factors of the primary tumor. In cases involving more than two positive lymph nodes or extranodal growth as well as positive imaging, pelvic lymphadenectomy is indicated. Large or fixed inguinal nodes as well as iliac lymph nodes seen on computed tomography scanning are a good indication for neoadjuvant rather than adjuvant chemotherapy.

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726: Squamous Cell Carcinoma of the Penis: A Contemporary Review of Lymph Node Disease

Cited by 2 publications

References 0 publications

Lymphadenektomie beim Peniskarzinom

Lymphadenektomie beim Peniskarzinom

Der Stellenwert der Lymphknotenchirurgie beim Peniskarzinom

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