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[Review of 42 cases of penile carcinoma]
J A Portillo Martín1, B Martín García, R Hernández Rodríguez
1Hospital Universitario Marqués de Valdecilla, Santander, España.
Objectives:
42 cases of penile carcinoma were retrospectively analyzed to determine the overall survival and the influence of treatment and inguinal lymph node metastasis on survival.
Methods:
The clinical records of 42 patients with penile carcinoma that had been treated at our hospital over a 17-year period were reviewed, with special reference to the epidemiological aspects, diagnosis, staging, treatment and overall survival.
Results:
The overall 5 and 10-year survival were 73% and 43%, respectively. Inguinal dissection was performed in 24% of the patients. The overall survival was better in those with no lymph node involvement.
Conclusions:
Following local surgery of penile cancer, inguinal lymphadenectomy of palpable nodes is recommended to improve survival, if antibiotic treatment is not effective. Randomized and cooperative studies are necessary to assess the efficacy of prophylactic lymph node dissection and its influence on survival.