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Experiencia de 15 a?os en el manejo del cáncer de pene

Keywords: cancer, penis, lymphadenectomy, penectomy, prognostic, factors, survival.

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Abstract:

objectives: to determine clinical characteristics, prognostic factors, surgical treatment and survival in patients with penile cancer at the institute of oncology dr. miguel perez carre?o. method: descriptive, transversal, in 50 of 65 patients with penile cancer. results: 11 patients evaluated in the years 1995 to 1998. 12 from 1999 to 2002, 15 patients from 2003 to 2006, and 12 from 2007 to 2009. 32 % were < 50 years, 26 % between 51- 60, 12 % between 61- 70 and 9 % > 71 years. 80 % were squamous cell carcinoma, 2 % with a sarcomata?s squamous and 18.% warty. 66 % was in gi histological grade, 32.% and 2 % gii giii. the partial penectomy were performed in 44 %, bilateral lymphadenectomy in 18 %, 16 % emasculation. the pathological stage was 36 % for i and iii 20 % for stage iv and 8 % stage ii. the performance of inguinal dissection was mostly in advanced stages with 29.6 % in pt3 g1. overall survival of stage i patients was 88.8 % in the first year and 50 % at 5 years, while stage iv in 70.% and zero in five years. conclusion: penile cancer prognosis depends on the pathological stage, lymph node involvement and histological grade, pt3 and pt4 patients regardless of histological grade are the ones who have a worse prognosis as described in the literature, therefore, is central lymphadenectomy handling these cases.

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