Complications of groin dissection in penile cancer Experience with 101 lymphadenectomies

Johnson, Douglas E.; Lo, Richard K.

doi:10.1016/0090-4295(84)90198-5

Cited by 95 publications

(35 citation statements)

References 7 publications

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“…The morbidity of inguinal lymphadenectomy may be considerable, with lymphocele, chronic lymphangitis, and a 30-50% incidence of severe lymphoedema and skin flap necrosis [39,[94][95][96]. Lymphoedema can be bothersome with respect to ambulation, difficulty standing for prolonged periods and recurrents bouts of cellulitis.…”

Section: Late Sequelae Related To Surgerymentioning

confidence: 99%

Cancer of the penis

Mosconi¹,

Roila²,

Gatta

et al. 2005

Critical Reviews in Oncology/Hematology

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Section: Late Sequelae Related To Surgerymentioning

confidence: 99%

Cancer of the penis

Mosconi¹,

Roila²,

Gatta

et al. 2005

Critical Reviews in Oncology/Hematology

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“…Controversy exists between proponents of elective lymphadenectomy (defined as being carried out in a patient with non-palpable regional lymph nodes) and delayed lymphadenectomy (defined as being carried out at first sign of palpable lymph node involvement) [18,20,35,36]. Lymphadenectomy is associated with substantial morbidity such as postoperative wound infection (14%-17%), skin necrosis (50%-62%), seroma (7%-25%), and lymph edema (27%-100%) [5,34,37,38]. A wait and see policy avoids overtreatment, but this approach carries the risk that metastases will be detected at a more advanced stage which may have a negative impact on survival.…”

Section: Timing Of Lymphadenectomymentioning

confidence: 99%

Contemporary management of penile squamous cell carcinoma

2004

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Squamous cell carcinoma (SCC) is the most common tumor of the penis. The natural history and its proclivity to spread via regional lymphatics has been well defined. Laser ablation of the primary tumor has a prominent role in patients with a superficial tumor as a penis-conserving approach. Patients with deeper infiltrating tumors, should undergo (partial) penile amputation. For patients presenting with proven metastatic nodes complete (ilio-) inguinal lymphadenectomy should be performed. During the last two decades, the management of penile carcinoma patients with impalpable regional lymph nodes has improved due to better knowledge of risks for metastases, the introduction of modified lymphadenectomy, and sentinel node biopsy. Future perspectives in penile cancer comprises continuing research to reduce mutilation without jeopardizing clinical outcome.

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“…Successful groin dissection is frequently associated with significant wound healing problems, prolonged lymphatic drainage, and chronic lower extremity edema, resulting in overall complication rates of 40%-82% (18)(19)(20)(21)(22) . As the size of the tumor increases to involve the overlying skin, femoral vessels, or the lower abdominal wall, resection of the tumor with adequate margins becomes problematic.…”

Section: Aspects Of Plastic Surgerymentioning

confidence: 99%

Limb sparing surgery for vulvar groin recurrence: A case report and review of the literature

Sevin,

Abendstein,

Oldenburg

et al. 2001

Int J Gynecol Cancer

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Hemipelvectomy was successfully avoided in a patient with extensive necrotic groin recurrence of vulvar cancer after prior radiation therapy. Tumor-free resection margins were achieved by wide excision of the recurrence including resection of the pubic bone and adjacent muscles. After resection of the femoral artery, blood supply to the leg was restored by an extra-anatomic axillopopliteal bypass. A myocutaneous flap from the contralateral rectus abdominis was used for primary wound closure. Limb salvage was achieved and the patient experienced pain relief, excellent cosmesis, and independent gait. Aspects of treatment options, even though primarily palliative, in groin recurrence of vulvar carcinoma are discussed.

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Complications of groin dissection in penile cancer Experience with 101 lymphadenectomies

Cited by 95 publications

References 7 publications

Cancer of the penis

Cancer of the penis

Contemporary management of penile squamous cell carcinoma

Limb sparing surgery for vulvar groin recurrence: A case report and review of the literature

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