Long-term followup of penile carcinoma treated with penectomy and bilateral modified inguinal lymphadenectomy

dc.creatorD'Ancona, CAL
dc.creatorDe Lucena, RG
dc.creatorQuerne, FAO
dc.creatorMartins, MHT
dc.creatorDenardi, F
dc.creatorNetto, NR
dc.date2004
dc.dateAUG
dc.date2014-11-16T08:09:50Z
dc.date2015-11-26T17:24:06Z
dc.date2014-11-16T08:09:50Z
dc.date2015-11-26T17:24:06Z
dc.date.accessioned2018-03-29T00:11:23Z
dc.date.available2018-03-29T00:11:23Z
dc.identifierJournal Of Urology. Lippincott Williams & Wilkins, v. 172, n. 2, n. 498, n. 501, 2004.
dc.identifier0022-5347
dc.identifierWOS:000222639300018
dc.identifier10.1097/01.ju.0000132239.28989.e1
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/52632
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/52632
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/52632
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1283992
dc.descriptionPurpose: We evaluated modified inguinal lymphadenectomy in the treatment of penile carcinoma, analyzing the rate of complications compared to complete inguinal lymphadenectomy, the complications in performing lymphadenectomy and penectomy concomitantly, and the long-term locoregional recurrence rate. \ Materials and Methods: A total of 26 patients with squamous cell carcinoma of the penis were clinically assessed, and underwent penectomy and bilateral modified inguinal lymphadenectomy at the same operative time. Frozen section analysis of lymph nodes was performed and if metastases were detected a complete ipsilateral inguinal dissection was performed. Results: A total of 52 modified lymphadenectomies were performed. In 10 procedures lymph node metastasis was present. Clinical staging presented false-positive and false-negative rates of 50% and 7.9%, respectively. The complication rate for modified lymphadenectomy was 38.9% and for complete inguinal lymphadenectomy it was 87.5%. Followup ranged from 5 to 112 months and mean followup of recurrence-free cases was 78 months (range 38 to 112). A total of 18 patients underwent bilateral negative modified inguinal lymphadenectomy and 2 of these experienced locoregional recurrence within 2 years after surgery. Conclusions: Modified inguinal lymphadenectomy causes a lower complication rate than complete inguinal lymphadenectomy. Bilateral modified inguinal lymphadenectomy performed at the same time as penectomy does not increase the complication rate. When frozen section analysis is negative bilaterally, 5.5% of inguinal regions might still harbor occult metastasis. Modified inguinal lymphadenectomy is recommended as a staging procedure in all patients with T2-3 penile carcinoma. A straight followup is required for 2 years since all recurrence was within this period.
dc.description172
dc.description2
dc.description498
dc.description501
dc.languageen
dc.publisherLippincott Williams & Wilkins
dc.publisherPhiladelphia
dc.publisherEUA
dc.relationJournal Of Urology
dc.relationJ. Urol.
dc.rightsfechado
dc.sourceWeb of Science
dc.subjectpenile neoplasms
dc.subjectlymph node excision
dc.subjectneoplasm metastasis
dc.subjectlymphatic metastasis
dc.subjectSquamous-cell Carcinoma
dc.subjectMetastasis Classification-system
dc.subjectPrognostic Factors
dc.subjectLymph-nodes
dc.subjectCancer
dc.subjectSurveillance
dc.subjectSurvival
dc.subjectTumor
dc.subjectMen
dc.titleLong-term followup of penile carcinoma treated with penectomy and bilateral modified inguinal lymphadenectomy
dc.typeArtículos de revistas


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