PTU - Polskie Towarzystwo Urologiczne
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Adjuvant postoperative inguinal nodes irradiation in patients with penis cancer
Article published in Urologia Polska 2001/54/3.


Piotr Pęczkowski, Małgorzata Pilichowska
Klinika Nowotworów Układu Moczowego, Centrum Onkologii-Instytutu im. Marii Skłodowskiej-Curie, Warszawa Kierownik kliniki: dr med. Tomasz Demkow


penis, penile cancer, lymph, radiotherapy


Objective. To study of effectiveness an toxicity adjuvant postoperative inguinal nodes irradiation in the patients with squamosus cell penis cancer.
Material and methods. Between 1986 and 1999 17 patients with the risk of subclinical disease in the inguinal nodes after the groin lymph nodes dissection underwent adjuvant radiotherapy. The median age at treatment was 59 years. The median follow up was 12 months. The patients were treated with cobalt beams to the pelvic nodes and then the electron boost to the groin was done.
Results. Nine patients died during the follow up period. We noticed for recurrences but two were outside of the irradiation field. The actuarial 3-year survival rates were as follows: overall non-specific survival 41%, disease-free survival 55% and local relapse-free survival 73,5%. The acute and late complications of irradiation were minimal.
Conclusion. Adjuvant irradiation of inguinal nodes means effective in controlling subclinical disease from penis cancer. The toxicity of our radiotherapy technique was very low.


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Piotr Pęczkowski
Klimka Nowotworów Układu Moczowego
Centrum Onkologii - Instytut im. Marii Skłodowskiej Curie
ul. Roentgena .5
02-781 Warszawa