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KMID : 0360319940260050801
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Journal of Korean Cancer Research Association
1994 Volume.26 No. 5 p.801 ~ p.805
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Determination of Lymphadenectomy in Primary Penile Carcinoma According to the Corpus Cavernosum Invasion
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Abstract
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A total of 31 patients with penile carcinoma were retrospectively analysed. Patients were treated either by partial or total penectomy. Twenty one patients had corpus had corpus cavernosum invasion and other 7 patients exhibited no such invasion.
Tumor
grades were well differentiated (GI) in 7, moderately differentiated(GII) in 12 and poorly differentiated(GIII) in 10 respectively. Twenty patients underwent inguinal node dissection. Metastatic nodes could be correlated with cavernosal invasion
but not
with tumor grade. When tumor grade and stage were analyzed simultaneously, none of T1 GI-III patients(0/4) developed nodal metastasis, but 75% of patients(12/10) with T2-3 GI-III developed metastasis. Thereby justifying 'wait and see' approach in
patients without cavernosal invasion, but early or prophylactic lymphadenectomy should be performed in patients with cavernosal invasion.
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KEYWORD
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