We reviewed our long-term experience with surgical treatment of patients with penile carcinoma. The presence and the extent of metastasis to the inguinal region were the most important prognostic factors for survival in our patients.
Surgical treatment of invasive squamous cell carcinoma of the penis: Brazilian national cancer institute long-term experience†
Article first published online: 18 APR 2008
Copyright © 2008 Wiley-Liss, Inc.
Journal of Surgical Oncology
Volume 97, Issue 6, pages 487–495, 1 May 2008
How to Cite
Ornellas, A. A., Chin, E. W. K., Nóbrega, B. L. B., Wisnescky, A., Koifman, N. and Quirino, R. (2008), Surgical treatment of invasive squamous cell carcinoma of the penis: Brazilian national cancer institute long-term experience. J. Surg. Oncol., 97: 487–495. doi: 10.1002/jso.20980
- Issue published online: 18 APR 2008
- Article first published online: 18 APR 2008
- Manuscript Accepted: 23 OCT 2007
- Manuscript Received: 10 JUL 2007
- penile neoplasms;
- squamous cell;
Background and Objectives
We reviewed our long-term experience with surgical treatment of patients with penile carcinoma.
From 1960 to 2006, 688 patients with penile carcinoma underwent surgical treatment at our Institute. Several forms of surgical treatment were compared and follow-up data analyzed.
Stage stratification demonstrated a better survival rate for patients with stages T1N0 and T1N1,T2N0-1. Patients with well differentiated carcinoma had a higher survival rate than those with moderately and poorly differentiated carcinoma (P < 0.0001 and P = 0.006). Risk stratification showed a better survival rate for patients in the low-risk group (T1G1,T1G2) (P = 0.013 and P < 0.00001). Patients in the intermediate group (T2G1,T2G2,T3G1,T3G2) presented a higher survival rate than patients in the high-risk group (T1-3G3,T4G1-3) (P < 0.00001). Patients who underwent immediate lymphadenectomy had a better survival rate than those who underwent delayed lymphadenectomy (P = 0.002).
Stage and tumor grade affected the prognosis of the disease. The presence and the extent of metastasis to the inguinal region were the most important prognostic factors for survival in our patients. Immediate lymphadenectomy is indicated in all patients. Since recurrences were noted within 8, 10, and 25 years after primary treatment, a frequent and lasting follow-up is essential for all patients. J. Surg. Oncol. 2008;97:487–495. © 2008 Wiley-Liss, Inc.