[Treatment of the regional lymph nodes in squamous carcinoma of the penis].
OBJECTIVE
We evaluated the management of the regional lymph nodes to determine the appropriate treatment for carcinoma of the penis.


METHODS
The records of 36 patients with carcinoma of the penis were reviewed. Lymphadenectomy was performed in 18 patients, 17 were managed conservatively (watchful waiting) and 1 patient had a biopsy and received radiotherapy.


RESULTS
Positive nodes were found in 2 of 2 pT4, 2 of 3 pT3, 8 of 13 pT2 and 2 of 12 pT1 patients submitted to lymphadenectomy. Concerning the histological grade, positive nodes were found in all of the 4 G3, 5 of 12 G2 and 3 of 20 G1 patients. The survival rate was 100% for the patients with negative lymph nodes (pNO = 6) or a single positive inguinal lymph node (pN1 = 5). A correlation was found between the T and the histological grade and the likelihood of lymph node invasion.


CONCLUSIONS
The T and the histological grade of the primary lesion must be considered when deciding the approach in the management of the lymph nodes as unnecessary lymphadenectomy can be avoided and those at high risk of lymph node invasion can be treated radically and timely.
Bernardo
N
N
Servicio de Urología, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina.
Scorticati
C
C
Holst
P
P
Soldano
M
M
De Lasa
T
T
Suárez
P
P
López
M
M
Bencardino
F
F
Sotero Falco
E
E
Coste Delvecchio
F
F
Rendón
F
F
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008197:Lymph Node Excision; D015182:Lymphatic Irradiation; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D010412:Penile Neoplasms / Q000473:pathology / Q000628:therapy*; D012189:Retrospective Studies
Tratamiento de los ganglios regionales en el carcinoma escamoso de pene.