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. 2017 Sep;143(9):1865-1870.
doi: 10.1007/s00432-017-2435-1. Epub 2017 May 10.

Surgical treatment of advanced penile cancer

Ke Zhang  1 , Xiang Wan  1 , Huan Xu  1 , Wenzhi Li  1 , Juan Zhou  1 , Ming-Xi Xu  1 , Hai-Jun Yao  2 , Zhong Wang  3
Affiliations

Surgical treatment of advanced penile cancer

Ke Zhang et al. J Cancer Res Clin Oncol. 2017 Sep.

Abstract

Purpose: To evaluate the therapeutic effect of surgery in patients with advanced penile cancer, who have a dismal prognosis.

Patients and methods: Between September 2007 and July 2015, we treated 12 patients with surgical therapy.

Results: The median follow-up period for all the patients was 16 months (range 4-60 months). The outcome and concomitant symptoms were analyzed, and the survival rates were calculated. Three of the patients are currently alive. The median overall survival of the patients was 9 months (range 4-13 months).

Conclusion: The present results suggest that surgery is a valuable treatment option for patients with advanced penile cancer. The prognosis of advanced penile cancer is closely related to lymph node and distant metastases. Flap repair can solve the problem of large area skin defect. Advanced penile cancer is difficult to treat regardless of chemotherapy or radiotherapy, and surgery cannot prolong the lives of patients. However, the dissection of lesions and repair of large area skin defects can dramatically improve the quality of life of patients, especially those with locally advanced disease without distant metastasis.

Keywords: Advanced; Penile cancer; Surgery; Therapy.

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Conflict of interest statement

We have no conflict of interest to declare.

Figures

Fig. 1
Fig. 1
Tumor invades the right inguinal region, skin erosion with pain
Fig. 2
Fig. 2
The defect after the tumor resection
Fig. 3
Fig. 3
We use right side of the lateral femoral circumflex perforator flaps cover the defect
Fig. 4
Fig. 4
Flap and donor site healing well 3 months after the operation
See this image and copyright information in PMC

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