Glans-preserving surgery for superficial penile squamous cell carcinoma ≥2 cm in diameter.
- Author:
Xiang ZHOU
1
;
Shang-Qian WANG
1
;
Ya-Min WANG
1
;
Yi-Chun WANG
1
;
Yi WANG
1
;
Qi-Jie ZHANG
1
;
Rong CONG
1
;
Cheng-Jian JI
1
;
Chao QIN
1
;
Ning-Hong SONG
1
Author Information
- Publication Type:Journal Article
- Keywords: glans-preserving surgery; prognosis; ≥2 cm in diameter; superficial penile squamous cell carcinoma
- From: National Journal of Andrology 2019;25(3):243-247
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility of glans-preserving surgery (GPS) in the treatment of superficial penile squamous cell carcinoma (PSCC) with the lesion diameter of ≥2 cm.
METHODS:We retrospectively analyzed the clinical data on 69 cases of superficial PSCC (≤T1aN0) treated by GPS (n = 36) or radical surgery (total or partial penectomy, n = 33) from July 2007 to July 2017.
RESULTS:The mean tumor diameter and depth of invasion were 3.16 (2.0-6.0) cm and 0.89 (0.5-2.0) cm in the GPS group and 3.56 (2.0-6.0) cm and 1.89 (0.6-4.0) cm respectively in the radical surgery group. The patients were followed up for 10-102 (mean 42) months, during which, 5 patients in the GPS group developed local recurrence at 40 days and 2, 4, 7 and 9 months postoperatively, again underwent gansectomy, partial penectomy or GPS, and experienced no more recurrence during the follow-up of 54, 34, 39, 66 and 70 months. No local recurrence was observed in the radical surgery group, and none of the 69 patients experienced lymph node metastasis or died during the follow-up.
CONCLUSIONS:GPS is safe and efficient for the treatment of superficial PSCC with the lesion diameter of ≥2 cm.