1997
DOI: 10.1159/000474479
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Surgical Treatment of Invasive Penile Cancer - The Heidelberg Experience from 1968 to 1994

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Cited by 32 publications
(21 citation statements)
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“…4 Prognosis of the patients with the regional disease depends upon the extensiveness of metastases. If metastatic spread in an early stage is detected immediately upon prophylactic or therapeutic lymphadenectomy, more than three quarters of patients can survive, [6][7][8] whereas in case of the metastatic spread in an advanced stage with bilateral nodal infiltration as well as extranodal tumour extension, less than 12% of patients may survive. 9 A similar observation was pursued in our study in which only 2/12 patients survived with regionally advanced disease after radiotherapy.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…4 Prognosis of the patients with the regional disease depends upon the extensiveness of metastases. If metastatic spread in an early stage is detected immediately upon prophylactic or therapeutic lymphadenectomy, more than three quarters of patients can survive, [6][7][8] whereas in case of the metastatic spread in an advanced stage with bilateral nodal infiltration as well as extranodal tumour extension, less than 12% of patients may survive. 9 A similar observation was pursued in our study in which only 2/12 patients survived with regionally advanced disease after radiotherapy.…”
Section: Discussionmentioning
confidence: 99%
“…In others, the enlargement was observed later on; in 4 patients (patients 1, 2, 10, and 11), the nodes were enlarged due to post-penectomy recurrence and surveillance policy, in one (patient 5), the enlargement was observed after prophylactic lymphadenectomy, and in one (patient 3), after sentinel lymph node dissection. In 8 patients (Table 1), radiotherapy was indicated because of palpable inguinal tumours which were diagnosed either as inoperable infiltrations in the nodes in 5 patients (patients [8][9][10][11][12] or as inoperable post-lymphadenectomy locoregional recurrence in 3 (patients 5-7). Microscopic tumour residue detected after lymphadenectomy in 4 patients was also an indication to apply radiotherapy.…”
Section: Methodsmentioning
confidence: 99%
“…Even in patients with pelvic node involvement, cure by surgery alone can still be obtained [18,30,31]. The extent and timing of lymphadenectomy have been discussed at length.…”
Section: Lymphadenectomy and Identification Of Occult Lymph Node Metamentioning
confidence: 99%
“…Poor hygiene conditions and the presence of phimosis are predisposing factors to smegma retention at the preputial cavity level and facilitate the irritant action of Mycobacterium smegmatis. This germ seems to be responsible for the chronic and irritant phenomena promoting a possible development of penile cancer [2]. The exceptional occurrence of squa- …”
mentioning
confidence: 99%