음경암에서 해면체 침윤여부에 의한 임파절 절제술의 시행결정

Abstract

A total of 31 patients with penile carcinoma were retrosrectively analysed. Patients were treated either by partial or total penectomy. Twenty one patients had corpus cavernosum inva- sion and other 7 patients exhibited no such invasion. Tumor grades were well differentiated (GI) in 7, moderately differentiated(GII) in 12 and poorly differentiated(GIII) in 10 respectively. Twenty patients underwent inguinal node dissectian. Metastatic nodes could be correlated with cavernosal invasion but not with tumor grade. When tumor grade and stage were analyzed simultaneously, none of Tl GI-III patients(0/4) developed nodal metastasis, but 75% of patients(12/16) with T., GI-III develaped metastasis. Thereby justifying 'wait and see' approach in patients without cavernosal invasion, but early or praphylactic lymphadenectomy should be performed in patients with cavernosal invaaion.