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Speciality Spotlight
Carcinoma of The Penis
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MP Senthil Kumar , N Ananthakrishnan, V Prema [Jawaharlal Inst of Post graduate Med Education and Research, Pondicherry, India]
Predicting Regional Lymph Node Metastasis in Carcinoma of the Penis : A Comparison Between Fine-Needle Aspiration Cytology, Sentinel Lymph Node Biopsy and Medial Inguinal Lymph Node Biopsy
Br J Urol 81 : 453-457, 1998
Conclusions – Clinical assessment alone is not accurate in identifying candidates for block dissection for penile carcinoma. When nodes are palpable, FNAC is accurate and specific.
In men with impalpable nodes, a preliminary medial inguinal node biopsy, followed by sentinal node biopsy when medial inguinal nodes biopsy is negative, enables accurate identification of patients with metastases in the groin nodes.
When the findings are positive, block dissection can be performed at the same time.
