What is the best prognostic marker of CA penis
Age <40 yrs
Lesion size <2 cm
Previous circumcision
Absent inguinal LN metastasis
The prognosis of penile cancer is primarily related to the presence or absence of inguinal node metastasis. Untreated patients with inguinal metastases rarely survive 2 years. Of those with clinically palpable adenopathy and histologically proven metastases, 20-50% are alive at 5 years following inguinal lymphadenectomy.The results are even better when the extent of the nodal involvement is considered. When the nodes are positive, the overall recurrence rate is 80%, and the 5-year survival rate is 10%-15%. Fixed lymph node status indicates the advancement of the disease. Reference : page 1065 SRB's manual of surgery 5th edition
Urology