1995
DOI: 10.1097/00005392-199502000-00046
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Lymph Node Metastasis From Carcinoma in Situ of the Penis: A Case Report

Abstract: Lymph node metastasis from carcinoma in situ of the penis is rare. We report a case of carcinoma in situ of the penis that was initially managed with circumcision and topical 5-fluorouracil. Subsequently inguinal and para-aortic lymph node metastasis developed, which was treated successfully with systemic chemotherapy and right inguinal lymph node dissection. The patient is free of disease 7 years after initial diagnosis and 3 years after the diagnosis of nodal metastasis.

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Cited by 14 publications
(6 citation statements)
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“…Therefore, a rare case of metastasis of carcinoma in situ cannot be ruled out. Metastasis without an invasive component is extremely rare, with only three other documented cases in the medical literature ( 43 45 ). Kim et al ( 43 ) reported a case of inguinal and pelvic lymph node metastases from carcinoma in situ in the penis.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, a rare case of metastasis of carcinoma in situ cannot be ruled out. Metastasis without an invasive component is extremely rare, with only three other documented cases in the medical literature ( 43 45 ). Kim et al ( 43 ) reported a case of inguinal and pelvic lymph node metastases from carcinoma in situ in the penis.…”
Section: Discussionmentioning
confidence: 99%
“…6 Metastasis from penile carcinoma in situ is extremely rare, as there have only been 2 other reported cases. 7,8 Avrach and Christensen described an aggressive case of penile carcinoma in situ. 7 The patient underwent circumcision and inguinal lymph node dissections that later revealed cancerous tissue.…”
Section: Discussionmentioning
confidence: 99%
“…7 Eng and colleagues reported another case of a similar lesion with metastasis to the inguinal and para-aortic lymph nodes. 8 The patient was initially treated with circumcision and topical 5-fluorouracil until metastatic disease was discovered several years later, for which he underwent systemic chemotherapy and an inguinal lymph node dissection. 8 The detection of metastatic disease from carcinoma in situ is therefore often incidental or delayed.…”
Section: Discussionmentioning
confidence: 99%
“…Although unusual, development of lymph node metastasis has been reported after treatment of PIN with circumcision combined with 5-FU (23). Progress of PfN to invasive penile cancer has been reported after CO^ laser ablation (24) and after PDT combined with topical 5-FU (25).…”
Section: Discussionmentioning
confidence: 99%