Lymph-node metastases in intermediate-risk squamous cell carcinoma of the penis.
OBJECTIVE
To evaluate the metastatic risk of pT1 G2 squamous cell carcinoma (SCC) of the penis.


METHODS
We retrospectively reviewed 20 patients with pT1 G2 penile SCC and determined their groin status at first presentation, their nodal status after inguinal lymph node dissection and their follow-up for at least 18 months.


RESULTS
Four of the 20 patients had a clinically positive groin; three of these were found to have lymph node metastases. Among the 16 patients with a clinically negative groin, one of five who had surgical lymph node staging had lymph node metastases. During surveillance six of 11 patients developed lymph node metastases. There was lymphovascular invasion in three of 10 patients with lymph node metastases.


CONCLUSIONS
As the metastatic risk of pT1 G2 penile SCC was 50% in this series of patients, and 44% in those with an initially negative groin, surgical staging of inguinal lymph nodes is recommended in patients with pT1 G2 penile SCC.
Naumann
Carsten M
CM
Department of Urology and Paediatric Urology, University Hospital Schleswig Holstein, Campus Kiel, Kiel, Germany. c.naumann@urology.uni-kiel.de
Alkatout
Ibrahim
I
Al-Najar
Amr
A
Korda
Joanna Beate
JB
Hegele
Axel
A
Bolenz
Christian
C
Ziegler
Heiko
H
Klöppel
Günter
G
Juenemann
Klaus-Peter
KP
van der Horst
Christof
C
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007264:Inguinal Canal / Q000473:pathology* / Q000601:surgery; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology* / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010412:Penile Neoplasms / Q000473:pathology* / Q000601:surgery; D012189:Retrospective Studies; D012307:Risk Factors