Clinical study on penile carcinoma

Yang, Do Gyoon; Yoon, Moon Soo

Abstract

Twenty four patients with penile carcinoma admitted to the Department of Urology. Catholic University Medical College Hospital were evaluated and the results were as follows. 1. The ages ranged from 36 to 78 years (median, 57) with peak incidence between 50 and 59. The origin sites showed the distal portion of the penis to be most common(87.5%). Clinical findings were penile mass in 58.3%. ulceration in 58.3% and inguinal lymphadenopathy in 58. 3% and time between first symptom and visit to physician delayed from 1 month to 6 years with average of 17 months. Clinical stages were distributed as follows : 4 cases in stage I,6 in stage II 13 in stage III and I in stage IV. 2. Treatments of primary lesion were :partial amputation in 13 cases and total amputation in 9. 3. Lymph node dissection was performed in 18 of 24 cases with or without inguinal lympadenopathy. Of 13 cases with lymphadenopathy. 8 cases were treated by inguinal lymph node . dissection and 5 cases by ilioinguinal lymph node dissection Nodal metastasis as confirmed in 7 of 18 cases : 6 or 13 with lymphadenopathy (46.2%) and 1 of 5 without lymphadenopathy (20%). Complications due to node dissection were leg edema (38.9%) and skin necrosis( 22.2%). 4. Eleven of 24 cases were followed for more than 3 years revealing 3 year survivals : 100% in stage I ,67% in stage II.40% in stage III and 0% in stage IV.