UI - 12050496
AU - Tanis PJ; Lont AP; Meinhardt W; Olmos RA; Nieweg OE; Horenblas S
Dynamic sentinel node biopsy for penile cancer: reliability of a staging
SO - J Urol 2002 Jul;168(1):76-80
AD - Department of Surgery, The Netherlands Cancer Institute, Amsterdam, The
PURPOSE: We determine the value of dynamic sentinel node biopsy for
staging squamous cell carcinoma of the penis. MATERIALS AND METHODS: A
total of 90 patients with clinically node negative penile cancer were
prospectively entered in this study. Preoperative lymphoscintigraphy was
performed after intradermal injection of 99mtechnetium nanocolloid
around the primary tumor. The sentinel node was intraoperatively
identified with the aid of intradermal administered patent blue dye and
a gamma ray detection probe. Histopathological examination of sentinel
nodes included serial sectioning and immunohistochemical staining.
Regional lymph node dissection was performed only if metastasis was
found in a sentinel node. Median followup was 36 months (range 5 to 95).
RESULTS: Lymphoscintigraphy visualized 217 sentinel nodes in 159
inguinal regions of 88 patients. A total of 208 sentinel nodes were
intraoperatively identified in 149 inguinal regions of 88 patients.
Sentinel node metastasis was found in 19 inguinal regions of 18
patients. Four of 8 patients with unilateral clinical stage N1 disease
had a tumor positive sentinel node on the opposite site. Regional
recurrence after excision of a tumor negative sentinel node or after
nonvisualization was seen in 5 patients, resulting in a false-negative
rate of 22% (5 of 23). The 3-year disease specific survival was 98% and
71% for patients with a tumor negative or tumor positive sentinel node,
respectively (p = 0.0018). CONCLUSIONS: Occult lymph node metastases in
penile cancer can be detected with a sensitivity of about 80% by dynamic
sentinel node biopsy, including preoperative lymphoscintigraphy, vital
dye and a gamma ray detection probe.
UI - 12087954
AU - Dechev IY; Banchev AB; Kadim MN; Zdravchev SA
Penile cancer--surgical treatment of the primary tumor.
SO - Folia Med (Plovdiv) 2001;43(4):46-50
AD - Medical University, Department of Urology, 15A Vassil Aprilov St., 4000
OBJECTIVE: To present our experience in the surgical treatment of
primary tumor in penile cancer based on the accepted oncologic
principles and indications for the existing surgical methods of
treatment. MATERIAL AND METHODS: A retrospective analysis of 54 patients
with histologically proven malignant penile cancer treated surgically at
the Urology department of MHAT "St George", Plovdiv between 1975 and
performed. Penile amputations were significantly more than
penile-preserving operations. DISCUSSION: Differentiation and tumor
stage are paramount in the choice of surgical strategy for penile
UI - 12094717
AU - Uemura M; Mukai M; Fukuhara S; Kanno N; Nishimura K; Miyoshi S; Tanigaki
T; Yoshida K; Kawano K
[A case of extramammary Paget's disease presenting with anuria]
SO - Hinyokika Kiyo 2002 May;48(5):311-4
AD - Department of Urology, Osaka Rosai Hospital.
A 64-year-old man was admitted with dyspnea and edema of the left lower
extremity to the Department of Medicine, and referred to our department
presenting with anuria and scrotal edema. Physical examinations revealed
a large nodular tumor extending from his penis to the lower abdomen. He
was diagnosed with penile tumor that had invaded into the
retroperitoneal space. Histological findings revealed extramammary
Paget's disease. Radiation therapy, low dose chemotherapy, and hormone
therapy were performed, but he died of invasion and multiple metastasis
of the tumor 5 months later.
UI - 12081161
AU - Khandpur S; Reddy BS; Kaur H
Multiple cutaneous metastases from carcinoma of the penis.
SO - J Dermatol 2002 May;29(5):296-9
AD - Department of Dermatology and STD, Maulana Azad Medical College &
Associated Lok Nayak Hospital, New Delhi, India.
A 65-year-old male patient with carcinoma of the penis in association
with bilateral inguinal lymphadenopathy and widespread cutaneous
dissemination is described. Histopathological examination of the primary
tumor and metastatic sites was suggestive of undifferentiated squamous
cell carcinoma. The patient was administered combination chemothrapy
using cisplatin, methotrexate, and bleomycin with a good response after
three cycles. The case is unique because of the rapid onset and
widespread nature of skin metastasis and rare presentation.
UI - 12080554
AU - Gamoudi A; Bougrine F; Dhiab T; Mamhlouf R; Chebi Goucha A; Khomsi F;
Hechiche M; Benna F; Boussen H; el May A; Rahal K
[Leiomyosarcoma of the penis: a case report and review of the
SO - Tunis Med 2002 Feb;80(2):105-7
The sarcoma of the penis is a very rare tumor more exceptional is the
Leiomyosarcoma of the penis for which the diagnosis required an
immunohistochemical study. The prognosis for this tumor is poor. We
report a case, which arise to a 53 year-old-man in this instance we did
a review of the medical literature.
UI - 11974724
AU - Wareing M
Reflective, holistic care after radical penectomy.
SO - Nurs Times 2002 Apr 2-8;98(14):34-6
AD - Horton Hospital, Banbury.
This case study describes the management of a patient with complex
problems by a urology nurse specialist. Penile amputation and the
creation of a colostomy had a severe impact on body image so the
patient's care required a holistic approach. He also needed the support
of community nurses, and collaboration between them and the urology
nurse specialist prevented fragmentation of his care in the end stages
of his life.
UI - 11816612
AU - Banon Perez VJ; Server Pastor G; Valdelvira Nadal P; Nicolas Torralba
JA; Lopez Cubillana P; Martinez Barba E; Perez Albacete M
[Malignant melanoma of the penis]
SO - Arch Esp Urol 2001 Oct;54(8):828-30
AD - Servicio de Urologia H.U. Virgen de la Arrixaca Crta. Madrid-Cartagena
s.n. C.P.: 30120 El Palmar, Murcia, Espana.
OBJECTIVE: To report a case of malignant melanoma of the penis, a rare
malignant neoplasm whose aggressive behaviour carries a poor prognosis.
METHODS: A 58-year-old male consulted for a pigmented elevated lesion in
the balanopreputial sulcus. The biopsy was positive for melanoma.
Complementary studies did not demonstrate disseminated disease. RESULTS:
Partial resection of the penis and bilateral inguinal lymphadenectomy
were performed. Histological analysis showed two positive nodes in the
same lymphatic chain. Interferon was administered for 6 months. The
patient remains disease-free at 35 months' follow-up. CONCLUSIONS:
Although surgery is the treatment of choice, adjuvant therapy
(chemotherapy and immunotherapy) should be considered in those patients
without localized disease.
UI - 12053452
AU - Casoli E; Di Fiore F; Longobardi S; Intilla O; Pone D
[Metastatic penile lesions secondary to transitional cell carcinoma of
the bladder: a rare cause of "malignant priapism"]
SO - Arch Ital Urol Androl 2002 Mar;74(1):48-9
AD - II Universita degli Studi di Napoli, Istituto di Patologia Speciale
Chirurgica e Propedeutica Clinica, Scuola di Specializzazione di
Metastases to the penis from transitional cell carcinoma of the bladder
are rare. In the literature about 300 cases of secondary penile
malignancies were described; 35% out of these cases were from primary
neoplasms of the bladder. The Authors describe a case of priapism
secondary to penile metastases from a transitional cell carcinoma of the
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