GSRGT 2020: Penile Cancer: Conservative N-strategies - Minimally Invasive Staging of the Groin
(Urotoday.com) The penile cancer session at the inaugural virtual summit of the Global Society of Rare Genitourinary Tumors (GSRGT) included a presentation of conservative strategies for lymph node management, including minimally invasive staging of the groin, by Dr. Oscar Brouwer from The Netherlands Cancer Institute. Dr. Brouwer notes that penile cancer survival is highly dependent on lymph node status and that appropriate management of the regional lymph nodes is crucial for patient survival. Older studies suggest that early resection of occult metastasis versus resection after the disease is palpable during surveillance significantly improves cancer-specific survival (84% vs 35% at 3 years). As such, detecting lymphatic spread as early as possible is crucial. Dr. Brouwer notes that if there are palpable abnormalities of the groin, there is no place for a trial of antibiotics and clin