How to Deal With Penile Carcinoma Inguinal Metastasis Invading Femoral Vessels

Abstract

Penile cancer accounts for 1–10% of men neoplastic diseases and 30–60% of patients have inguinal metastases at the time of diagnosis. Inguinal metastases of penile cancer with femoral vessel involvement could lead to vascular fistula and hemorrhagic shock. We present 3 consecutive patients with inguinal metastases of penile cancer complicated by infection and hemorrhage from femoral vessels invaded by the tumor. Simultaneous extra-anatomical axillo-femoral bypass graft, wide excision of tumor and groin defect reconstruction was used to achieve “tumor-free” oncologic aim and to save the lower limb. We consider the extra-anatomic axillo-femoral bypass associated with wide inguinal tumor excision and defect covering a feasible surgical solution for improving the life quality and extend life expectancy in patients with lymph node metastasis of penile cancer complicated by necrosis, infection and femoral vessel involvement.

Penile carcinoma: A retrospective analysis of 93 patients at a tertiary care center in Jakarta, Indonesia

“…1 Despite being somewhat rare, PC is an aggressive lymphatic cell tumor since 30%-60% of patients had groin and pelvic lymph node metastasis at the time of diagnosis. 2 In certain Asian, African, and South American countries, the occurrence of PC may represent up to 10% of cases. India is considered one of the countries with the highest incidence in the world, with rates up to 3.32 per 100 000 men in some regions.…”

“…Penile carcinoma (PC) is a rare disease, constituting 1% of all male malignancies in Europe and the United States 1 . Despite being somewhat rare, PC is an aggressive lymphatic cell tumor since 30%–60% of patients had groin and pelvic lymph node metastasis at the time of diagnosis 2 . In certain Asian, African, and South American countries, the occurrence of PC may represent up to 10% of cases.…”