Results of Surgical Treatment of Carcinoma of the Penis

Abstract

A five-year follow-up of 133 patients treated surgically for carcinoma of the penis shows a 69% survival if the lymph nodes are not involved, and 33% survival if the lymph nodes arc involved. Clinically, in patients with operable disease, it is not possible to determine with accuracy whether the lymph nodes are invaded by tumour. The prognosis is not affected significantly by anaplasia of the growth, but is related to clinico-pathological spread. Local complications are recurrence, urethral stenosis, delayed wound healing of the groin dissection and lymphœdema.

Condyloma-Like Penis Carcinoma

“…The prognosis for an untreated carcinoma of the penis is unfavorable in 2-4 years [10]. After treatment the 5-year survival rate is about 40-60%, depending on the stage of the tumour when the patient comes for treatment [2,7],…”

“…According to Jackson [2,7], four stages can be distinguished : ( 1 ) tumour restricted to prepuce/glans; (2) tumour with invasion of the corpora caver nosa; (3) tumour with métastasés of the regional lymph glands, and (4) tumour with distant métastasés. The following forms may be distinguished [10]: papillary, ulcerating with raised edge and lumpy, non-papillary.…”

Carcinoma of the Penis

“…Kuruvilla re ported that 20 percent of patients with clinical Stage I and II tumors actually had nodal involvement and that, there fore, the clinical impression was not re liable. 18 Only one patient (five percent) with a non-invasive tumor in our series devel oped late nodal metastases. (The pri mary lesion had been adequately con trolled and adenopathy was not present at the time of partial penectomy.)…”

Carcinoma of the Penis Metastasizing to the Dorsal Spine

“…Carcinoma of the penis is a rare neoplasm comprising 1% of all the male malignancies in the United States [1]. The penis has a rich lymphatic network, and carcinoma tends to spread to the superficial and deep inguinal lymph nodes which act as the first station for spread.…”