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[French ccAFU guidelines - Update 2018-2020: Penile cancer].

P-H Savoie1, A Fléchon2, N Morel-Journel3

  • 1Comité de cancérologie de l'Association française d'urologie, groupe organes génitaux externes, maison de l'urologie, 11, rue Viète, 75017 Paris, France; Service d'urologie, hôpital d'instruction des armées Sainte-Anne, BP 600, 83800 Toulon cedex 09, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|October 16, 2019
PubMed
Summary

Penile cancer requires precise surgical treatment and chemotherapy for node-positive cases. Accurate inguinal lymph node assessment is crucial for patient prognosis and effective management.

Keywords:
Adénopathie inguinaleCancer épidermoïdeEpidermoid carcinomaInguinal adenopathyLymphadenectomyLymphadénectomiePenectomyPenile cancerPénectomiePénis

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Medical Guidelines

Context:

  • Penile cancer diagnosis and treatment require updated guidelines.
  • Current evidence on penile cancer management was reviewed.
  • French oncology guidelines for penile cancer were updated.

Purpose:

  • To provide updated French oncology guidelines for penile cancer.
  • To inform clinical practice regarding penile cancer diagnosis, treatment, and follow-up.

Summary:

  • Epidermoid carcinoma is the most common penile cancer. Physical examination and imaging (MRI, 18-FDG-PET) are key for staging.
  • Invasive lymph node assessment, including sentinel node biopsy, is recommended due to high rates of micrometastases.
  • Treatment involves surgery with clear margins, potentially organ-sparing. Chemotherapy and multidisciplinary approaches are vital for advanced nodal disease.

Impact:

  • Updated guidelines will standardize and improve penile cancer care in France.
  • Emphasizes the critical role of lymph node assessment in penile cancer management.
  • Highlights the need for multidisciplinary treatment for advanced penile cancer.