PTU - Polskie Towarzystwo Urologiczne
list of articles:

TREATMENT RESULTS OF PENIS CANCER IN INSTITUTE OF ONCOLOGY
Article published in Urologia Polska 1997/50/4.

authors

Tomasz Demkow, Grzegorz Madej
Klinika Nowotworów Układu Moczowego
Centrum Onkologii - Instytutu w Warszawie
Kierownik Kliniki: prof. dr hab. G. Madej

keywords

penis cancer treatment

summary

Introduction. The number of newly diagnosed cases of penis cancer in
Poland was 161 in 1994.
Aim of the study. The study was aimed of assessing the results of surgical
treatment of penis carcinoma.
Material and method. In Oncology Center in Warsaw there were 39 men
operated because of penis carcinoma. 12 of them had circumcision, in 18 cases
partial amputation was performed and in 9 patients total amputation was
done. In 17 patients inguinal lymphadenctomy was performed. The
pathological stage of the lesion after the surgery was fund to be: pTis - 1
patient, pTl - 20 patients, pT2 14 patients and pT3 - 4 patients. In 11 cases
maetastatic involvement of inguinal lymph nodes was found.
Results: The average time between the noting by the patient of the penile
lesion and seeking medical help was 13 months and surgical treatment was
performed 15 months later. 4 patients died and 3 patients had local reccurence.
Prolonged lymphatic discharge from the wound was the most fre±uent
complication of the surgery.
Conclusions: More advanced pathological stage of the disease is associated
with the increase of fre±uency of metastases to local lymph nodes. The average
time beween observation of the penile lesion and surgical treatment was 15
months. Lymphatic discharge from the wound was constituted the most
fre±uent complication of the surgery.

references

  1. [1] Beegs, J. H., Spjratt, J. S.: Epidermal carcinoma of the penis. J. Urol., 1964,91,166-
  2. 170.
  3. [2] DeKernion, J. B., Tymbery, R, Persky, L., Fegen, J. R: Carcinoma of the penis.
  4. Cancer, 1973, 32, 1256-1261.
  5. [3] Fossa, S. D., Hall, K. S. et all.: Carcinoma of the penis. Experience at Nornegian
  6. Radium Hospital 1974-1985. Eur. Urol., ml987,13, 372-377.
  7. [4] Fraley, E. E., Zhang, G., Manivel, C. Niehans, G. A.: The role of inguinal lympha-
  8. denectomy and significance of histological differentiation in treatment of carcinoma
  9. of the penis.J. Urol, 1989,142,1478-1482.
  10. [5] Horenblas, S. Tinteren, H., Delemarre, J. F. M, Moonen, L. M. F. Et all.: S±uamous
  11. cell carcinoma of the penis. Ul. Treatment of regional lymph nodes. J. Urol., 1933,149,
  12. 492-497.
  13. [6] McDougal, W. S., Kirchner, F. K., et all: Treatment of carcinoma of the penis: The
  14. case of primary lymphadenectomy. J. Urol., 1986,136, 38-42.
  15. [7] Shellhamer, P. R: Penile cancer. W: Clinical Urology. Krane R. J. J. B. Lippincott
  16. Company, Philadelphia, 1994, 1259-1263.
  17. [8] Skinner, D. G., Leadbetter, W. F, Kelley, S. B.: The surgical management of s±uamo-
  18. us cell carcinoma of the penis.J. Urol., 107, 273,1972-1977.
  19. [9] Srining, V., Morse, M. ]., Herr, H. W. et all.: Penile cancer. Relation ofextent ofnodal
  20. metastasis to survival. J. Urol. 1987,137, 880-884.
  21. [10] Zatoński, W., Tyczyński, J.: Nowotwory zło¶liwe w Polsce w 1994 roku. Centrum
  22. Onkologii - Instytut im Marii Skłodowskiej Curie, Warszawa 1994.
  23. [U] Zieliński, J. Leńko, }.: Urologia. Warszawa, 1993, Tom II, Państwowy Zakład
  24. Wydawnictw Lekarskich, 465-467.