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KMID : 0358319830240020286
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Korean Journal of Urology
1983 Volume.24 No. 2 p.286 ~ p.290
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Clinical Investigation of Penile Cancer in 37 Cases
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이강현/Lee KH
김영균/Kim YK
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Abstract
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The records of 37 patients with penile cancer during the past 17 years were reviewed.
1. About 80% of patients delayed for more than 3 months to seek medical advice following initial symptoms.
2. Most common complaint was penile mass (81.1%).
3. All 37 patients were not circumcised during neonatal period.
4. Thirty five of 37 cages were squamous cell carcinoma. 5. Clinical stages were distributed as follows: 9 cases in stage I, 8 cases in stage II, 16 cases in stage III, and 4 cases in stage IV.
6. Nineteen patients (51.4%) had inguinal lymphadenopathy initially. Exploration was carried out in 14 cases and metastatic cancers were found in 8 cases (57.1%) Sentinel lymph node biopsy was done in 6 cases of non-palpable inguinal lymph node and metastatic cancer was found in 1 case.
7. Partical penectomy was performed in 33 cases, and total penectomy was done in 1 case. Two major complications were infection (29.4%) and urethral stricture (14.7%).
8. Bleomycin was administered to 17 patients after operation or biopsy.
9. Sixteen of 37 patients were followed for more than 2 years, revealing 2 year survival 83.3% in stage I, 60% in stage II. 33.3% in stage III and 0% in stage IV.
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