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[Penile cancer: diagnosis and staging].
- Source :
-
Der Urologe. Ausg. A [Urologe A] 2018 Apr; Vol. 57 (4), pp. 418-422. - Publication Year :
- 2018
-
Abstract
- Penile cancer is often an obvious visual diagnosis but histologic verification should be obtained prior to treatment. The clinical examination should determine the tumor stage and whether it has infiltrated the cavernous bodies and/or the urethra and it should adequately assess the inguinal lymph nodes. Preoperative imaging of the lesion is only indicated in equivocal cases. Curative treatment requires the complete removal of the primary tumor and all metastatic lymph nodes. Lymph node management is the key prognostic factor in the treatment of penile cancer. No imagining technique such as the ultrasound, CT, MRI or PET/CT is able to adequately detect micrometastatic lymph nodes. Therefore, invasive (inguinal) lymph node diagnosis is indicated for all tumour stages from pT1G2. Over 90% of penile cancer cases can be cured with early diagnosis and adequate treatment if routine self-examination and physical examinations are regularly performed.
- Subjects :
- Adult
Aged
Carcinoma, Squamous Cell pathology
Early Diagnosis
Humans
Lymphatic Metastasis pathology
Male
Middle Aged
Neoplasm Invasiveness
Neoplasm Staging
Papillomavirus Infections pathology
Penis pathology
Phimosis complications
Phimosis pathology
Risk Factors
Urethra pathology
Carcinoma, Squamous Cell diagnosis
Penile Neoplasms diagnosis
Penile Neoplasms pathology
Subjects
Details
- Language :
- German
- ISSN :
- 1433-0563
- Volume :
- 57
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Der Urologe. Ausg. A
- Publication Type :
- Academic Journal
- Accession number :
- 29523915
- Full Text :
- https://doi.org/10.1007/s00120-018-0602-x