Controversies in Ilioinguinal Lymphadenectomy.
Summary of "Controversies in Ilioinguinal Lymphadenectomy."
Patients with penile cancer who are proven to have negative inguinal lymph nodes have an excellent prognosis. Furthermore, patients with small-volume inguinal node involvement can often be cured by surgery alone. Lymphadenectomy has clear survival benefits for patients when applied to those with lymph node metastasis. However, the current morbidity of the standard technique of lymphadenectomy is an impediment to its universal application, and innovative strategies to reduce the morbidity of staging/treatment that do not compromise oncologic control must be developed and standardized. The optimal integration of multimodality therapy to improve survival in advanced disease will occur only through collaborative studies between centers with significant patient volume, which would be facilitated through the development of regional referral centers.
Affiliation
Department of Urology, Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London SE1 9RT, UK.
Journal Details
This article was published in the following journal.
Name: The Urologic clinics of North America
ISSN: 1558-318X
Pages: 421-434
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20674697
- DOI: http://dx.doi.org/10.1016/j.ucl.2010.04.005
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