[Can a standard treatment be proposed for penile cancer?].
OBJECTIVE
Malignant tumours of the penis are rare and their management is complex. The objective of this study was to review the management and report the results based on a personal series.


METHODS
Cases of penile cancer treated in our department between 2000 and 2006 were retrospectively reviewed. The following data were recorded: mode of presentation, staging, site, pathology, TNM stage, treatment, course and survival.


RESULTS
Seven cases of squamous cell carcinoma of the penis were diagnosed. The mean age of the patients was 58.8 years (range: 41-74), Two precancerous lesions (Bowen's disease) and one case of Human Papilloma Virus (HPV) infection were observed. Five patients received multimodal conservative treatment and 2 patients were treated by total amputation of the penis. Four patients have died. The mean survival was 19.3 months and the 5-year specific survival was 42.8%.


CONCLUSIONS
Cancers of the penis are aggressive tumours with a poor prognosis. Treatment decisions, which are poorly defined in these cases of rare cancers, should be based on multidisciplinary consultations.
Cornu
Jean-Nicolas
JN
Services d'Urologie, l'Hôpital Pitie-Salpêtrière, Paris, France.
Comperat
Eva
E
Renard-Penna
Raphaële
R
Misrai
Vincent
V
Bitker
Marc-Olivier
MO
Haertig
Alain
A
Chartier-Kastler
Emmanuel
E
Richard
François
F
Roupret
Morgan
M
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010412:Penile Neoplasms / Q000628:therapy*; D012189:Retrospective Studies