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Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
[Treatment of advanced penile cancer. Do we need new methods for chemotherapy?]
C Protzel1, H-J Klebingat, O W Hakenberg
1Klinik und Poliklinik für Urologie, Universität Rostock, Rostock, Deutschland.
Abstract:
Penile cancer is a squamous epithelial neoplasia with a very high mortality in advanced stages. Only few series with small patient numbers have addressed the systemic treatment of advanced penile carcinoma. Established regimens are characterized by high toxicity and poor efficacy. Due to the relative paucity of data, recommendations and guidelines on the treatment of metastatic penile carcinoma are vague. New approaches and large-scale studies that will allow better definition of adequate and more effective treatment options are needed. Encouraging results with newer chemotherapeutic agents are at present mainly anecdotal but are still encouraging.
Insights
Advanced penile cancer has high mortality and limited treatment options. New research is needed to define effective systemic therapies for metastatic disease, as current methods are toxic and poorly effective.
Area of Science:
- Oncology
- Urologic Oncology
- Cancer Research
Context:
- Penile cancer is a rare but aggressive squamous cell neoplasia.
- Advanced stages are associated with very high mortality rates.
- Current systemic treatment options for advanced penile carcinoma are limited, toxic, and often ineffective.
Purpose:
- To highlight the critical need for improved systemic treatment strategies in advanced penile cancer.
- To underscore the limitations of existing therapeutic regimens and guidelines.
- To emphasize the necessity for large-scale studies and novel chemotherapeutic approaches.
Summary:
- Systemic treatment for advanced penile carcinoma is poorly defined due to limited data and small patient cohorts.
- Established chemotherapy regimens exhibit high toxicity and low efficacy.
- Anecdotal evidence suggests potential promise for newer chemotherapeutic agents, warranting further investigation.
Impact:
- This review calls for urgent development of more effective and less toxic treatments for advanced penile cancer.
- It highlights the need for robust clinical trials to establish evidence-based guidelines.
- Improved therapeutic strategies could significantly enhance survival and quality of life for patients with metastatic penile carcinoma.
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