[Micrographic surgery and inguinal lymphadenectomy: elective therapy in carcinoma of the penis (stage I and II)].
The squamous cancer of the penis has a very low incidence in our environment which means that very few centres have any cases and therefore lack any major experience. This handicap together with their treatment being divided between Urologists and Dermatologists decreases even more the number of cases seen and precludes the obtention of valid considerations. This report presents 15 cases of squamous cancer of the penis seen and followed-up for at least 5 years, and which were treated according to an established protocol in which the differential element, based in our results, is that ilial lymphadenectomy does not offer better results than chemotherapy in high-stage disease, with 33% survival, whereas in low-stage disease the use of surface and deep bilateral inguinal lymphadenectomy, in conjunction with micrographic surgery achieves survival rates of 100%. Morbidity in this case is standard (transient lymphedema, 100% patients; inguinal skin necrosis, 4% patients), while ilial lymphadenectomy has a high morbidity and some mortality.
Gelabert Mas
A
A
Servicio de Urología, Hospital Universitari del Mar, Universitat Autónoma de Barcelona.
Arango
O
O
Alcaraz
A
A
Vesa
J
J
Umbert
B
B
Lladó
D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007085:Ilium; D008197:Lymph Node Excision; D008297:Male; D008866:Microsurgery; D009367:Neoplasm Staging; D010412:Penile Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*
Cirugía micrográfica y linfadenectomia inguinal: terapéutica de elección en el ca. de pene (estadio I y II).