Unreliability of modified inguinal lymphadenectomy for clinical staging of penile carcinoma

✍ Scribed by Ademar Lopes; Benedito Mauro Rossi; Francisco Paulo Fonseca; Sandra Morini

• Book ID: 101228343
• Publisher: John Wiley and Sons
• Year: 1996
• Tongue: English
• Weight: 312 KB
• Volume: 77
• Category: Article
• ISSN: 0008-543X
• DOI: 10.1002/(sici)1097-0142(19960515)77:10<2099::aid-cncr20>3.0.co;2-p

✦ Synopsis

BACKGROUND.

In 1988, Catalona proposed a modified bilateral inguinal lymphadenectomy for staging of lymph node metastasis from penile carcinoma. All tlhree patients with penile carcinoma submitted to this procedure and without histologically confirmed metastases were free of disease within a mean follow-up time of 14.6 months.

METHODS.

In a prospective study, the authors evaluated thirteen patients staged by the TNM system and submitted to modified bilateral inguinal lymphadenectomy. RESULTS. None of the patients had histologic metastases in the medial quadrant lymph nodes. Two of these patients developed regional lymph node metastases within 13.2 months (mean follow-up time).