[Micrographic surgery and inguinal lymphadenectomy: elective therapy in carcinoma of the penis (stage I and II)].
Identifieur interne : 005A52 ( PubMed/Corpus ); précédent : 005A51; suivant : 005A53[Micrographic surgery and inguinal lymphadenectomy: elective therapy in carcinoma of the penis (stage I and II)].
Auteurs : A. Gelabert Mas ; O. Arango ; A. Alcaraz ; J. Vesa ; B. Umbert ; LladóSource :
- Actas urologicas espanolas [ 0210-4806 ]
English descriptors
- KwdEn :
- MESH :
- mortality : Carcinoma, Squamous Cell, Penile Neoplasms.
- pathology : Carcinoma, Squamous Cell, Penile Neoplasms.
- surgery : Carcinoma, Squamous Cell, Penile Neoplasms.
- Humans, Ilium, Lymph Node Excision, Male, Microsurgery, Neoplasm Staging.
Abstract
The squamous cancer of the penis has a very low incidence in our environment which means that very few centres have any cases and therefore lack any major experience. This handicap together with their treatment being divided between Urologists and Dermatologists decreases even more the number of cases seen and precludes the obtention of valid considerations. This report presents 15 cases of squamous cancer of the penis seen and followed-up for at least 5 years, and which were treated according to an established protocol in which the differential element, based in our results, is that ilial lymphadenectomy does not offer better results than chemotherapy in high-stage disease, with 33% survival, whereas in low-stage disease the use of surface and deep bilateral inguinal lymphadenectomy, in conjunction with micrographic surgery achieves survival rates of 100%. Morbidity in this case is standard (transient lymphedema, 100% patients; inguinal skin necrosis, 4% patients), while ilial lymphadenectomy has a high morbidity and some mortality.
PubMed: 1792997
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pubmed:1792997Le document en format XML
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Umbert</name></author><author><name sortKey="Llad" sort="Llad" uniqKey="Llad" last="Llad">Lladó</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>1991 Nov-Dec</MedlineDate></PubDate></date><idno type="RBID">pubmed:1792997</idno><idno type="pmid">1792997</idno><idno type="wicri:Area/PubMed/Corpus">005A52</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005A52</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Micrographic surgery and inguinal lymphadenectomy: elective therapy in carcinoma of the penis (stage I and II)].</title><author><name sortKey="Gelabert Mas, A" sort="Gelabert Mas, A" uniqKey="Gelabert Mas A" first="A" last="Gelabert Mas">A. Gelabert Mas</name><affiliation><nlm:affiliation>Servicio de Urología, Hospital Universitari del Mar, Universitat Autónoma de Barcelona.</nlm:affiliation></affiliation></author><author><name sortKey="Arango, O" sort="Arango, O" uniqKey="Arango O" first="O" last="Arango">O. Arango</name></author><author><name sortKey="Alcaraz, A" sort="Alcaraz, A" uniqKey="Alcaraz A" first="A" last="Alcaraz">A. Alcaraz</name></author><author><name sortKey="Vesa, J" sort="Vesa, J" uniqKey="Vesa J" first="J" last="Vesa">J. Vesa</name></author><author><name sortKey="Umbert, B" sort="Umbert, B" uniqKey="Umbert B" first="B" last="Umbert">B. Umbert</name></author><author><name sortKey="Llad" sort="Llad" uniqKey="Llad" last="Llad">Lladó</name></author></analytic><series><title level="j">Actas urologicas espanolas</title><idno type="ISSN">0210-4806</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Carcinoma, Squamous Cell (mortality)</term><term>Carcinoma, Squamous Cell (pathology)</term><term>Carcinoma, Squamous Cell (surgery)</term><term>Humans</term><term>Ilium</term><term>Lymph Node Excision</term><term>Male</term><term>Microsurgery</term><term>Neoplasm Staging</term><term>Penile Neoplasms (mortality)</term><term>Penile Neoplasms (pathology)</term><term>Penile Neoplasms (surgery)</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Penile Neoplasms</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Penile Neoplasms</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Penile Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Ilium</term><term>Lymph Node Excision</term><term>Male</term><term>Microsurgery</term><term>Neoplasm Staging</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The squamous cancer of the penis has a very low incidence in our environment which means that very few centres have any cases and therefore lack any major experience. This handicap together with their treatment being divided between Urologists and Dermatologists decreases even more the number of cases seen and precludes the obtention of valid considerations. This report presents 15 cases of squamous cancer of the penis seen and followed-up for at least 5 years, and which were treated according to an established protocol in which the differential element, based in our results, is that ilial lymphadenectomy does not offer better results than chemotherapy in high-stage disease, with 33% survival, whereas in low-stage disease the use of surface and deep bilateral inguinal lymphadenectomy, in conjunction with micrographic surgery achieves survival rates of 100%. Morbidity in this case is standard (transient lymphedema, 100% patients; inguinal skin necrosis, 4% patients), while ilial lymphadenectomy has a high morbidity and some mortality.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">1792997</PMID><DateCreated><Year>1992</Year><Month>03</Month><Day>30</Day></DateCreated><DateCompleted><Year>1992</Year><Month>03</Month><Day>30</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0210-4806</ISSN><JournalIssue CitedMedium="Print"><Volume>15</Volume><Issue>6</Issue><PubDate><MedlineDate>1991 Nov-Dec</MedlineDate></PubDate></JournalIssue><Title>Actas urologicas espanolas</Title><ISOAbbreviation>Actas Urol Esp</ISOAbbreviation></Journal><ArticleTitle>[Micrographic surgery and inguinal lymphadenectomy: elective therapy in carcinoma of the penis (stage I and II)].</ArticleTitle><Pagination><MedlinePgn>568-70</MedlinePgn></Pagination><Abstract><AbstractText>The squamous cancer of the penis has a very low incidence in our environment which means that very few centres have any cases and therefore lack any major experience. This handicap together with their treatment being divided between Urologists and Dermatologists decreases even more the number of cases seen and precludes the obtention of valid considerations. This report presents 15 cases of squamous cancer of the penis seen and followed-up for at least 5 years, and which were treated according to an established protocol in which the differential element, based in our results, is that ilial lymphadenectomy does not offer better results than chemotherapy in high-stage disease, with 33% survival, whereas in low-stage disease the use of surface and deep bilateral inguinal lymphadenectomy, in conjunction with micrographic surgery achieves survival rates of 100%. Morbidity in this case is standard (transient lymphedema, 100% patients; inguinal skin necrosis, 4% patients), while ilial lymphadenectomy has a high morbidity and some mortality.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gelabert Mas</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Servicio de Urología, Hospital Universitari del Mar, Universitat Autónoma de Barcelona.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Arango</LastName><ForeName>O</ForeName><Initials>O</Initials></Author><Author ValidYN="Y"><LastName>Alcaraz</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Vesa</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Umbert</LastName><ForeName>B</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Lladó</LastName></Author></AuthorList><Language>spa</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Cirugía micrográfica y linfadenectomia inguinal: terapéutica de elección en el ca. de pene (estadio I y II).</VernacularTitle></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Actas Urol Esp</MedlineTA><NlmUniqueID>7704993</NlmUniqueID><ISSNLinking>0210-4806</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002294" MajorTopicYN="N">Carcinoma, Squamous Cell</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007085" MajorTopicYN="N">Ilium</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="Y">Lymph Node Excision</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008866" MajorTopicYN="N">Microsurgery</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010412" MajorTopicYN="N">Penile Neoplasms</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1991</Year><Month>11</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1991</Year><Month>11</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1991</Year><Month>11</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">1792997</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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