Glansectomy as Primary Management of Penile Squamous Cell Carcinoma: An International Study Collaboration

Academic Article

Abstract

  • Objective To analyze the recurrence and survival outcomes of glansectomy in patients with penile squamous cell carcinoma. Materials and Methods We performed a retrospective review of 410 patients across 5 international tertiary referral centers between 1999 and 2016. All patients had tumors involving the glans penis and underwent glansectomy as primary treatment. The Kaplan-Meier method and log-rank test were used to calculate survival and recurrence. Median follow-up was 42 months (interquartile range [IQR] 29-56). Results The median age was 64 years (IQR 53-72). Median tumor size was 2.2 cm (IQR 1.5-3.0). A total of 240 patients (58.5%) had pT2 disease, whereas only 43 patients (10.5%) had pT3 or pT4 disease. The majority of the cohort had poorly differentiated tumors (43.7%). Most recurrences were local at 7.6% (31 patients). Only 14 patients (3.4%) had regional recurrence and 9 patients (2.2%) had distant recurrence. When stratified by pathologic stage, tumors that were pT2 or higher were (P <.001) and were more likely to be poorly differentiated (P <.001). There were no differences in recurrence location among pathologic stages (P =.15). The 1-, 2-, and 5-year recurrence-free survival were 98%, 94%, and 78%, respectively. There were no differences in overall survival when stratified by stage (P =.67). Conclusion Glansectomy is an oncologically safe treatment modality for squamous cell carcinoma of the glans in appropriately selected invasive tumors.
  • Authors

    Published In

  • Urology  Journal
  • Digital Object Identifier (doi)

    Author List

  • Tang DH; Yan S; Ottenhof SR; Draeger D; Baumgarten AS; Chipollini J; Protzel C; Zhu Y; Ye DW; Hakenberg OW
  • Start Page

  • 140
  • End Page

  • 144
  • Volume

  • 109