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Surgical treatment of advanced penile cancer
Ke Zhang1, Xiang Wan1, Huan Xu1
1Department of Urology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, No.639 of Zhizaoju Road in Huangpu District, Shanghai, 200011, China.
Purpose:
To evaluate the therapeutic effect of surgery in patients with advanced penile cancer, who have a dismal prognosis.
Patients And Methods:
Between September 2007 and July 2015, we treated 12 patients with surgical therapy.
Results:
The median follow-up period for all the patients was 16 months (range 4-60 months). The outcome and concomitant symptoms were analyzed, and the survival rates were calculated. Three of the patients are currently alive. The median overall survival of the patients was 9 months (range 4-13 months).
Conclusion:
The present results suggest that surgery is a valuable treatment option for patients with advanced penile cancer. The prognosis of advanced penile cancer is closely related to lymph node and distant metastases. Flap repair can solve the problem of large area skin defect. Advanced penile cancer is difficult to treat regardless of chemotherapy or radiotherapy, and surgery cannot prolong the lives of patients. However, the dissection of lesions and repair of large area skin defects can dramatically improve the quality of life of patients, especially those with locally advanced disease without distant metastasis.
