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Title: | Conservative treatment of penile carcinoma - a retrospective study of 10 years | Other Titles: | Tratamento conservador do carcinoma do pênis - Estudo retrospectivo de 10 anos | Authors: | Pereira, Neide Cabral, Ana Rita Vieira, Ricardo Figueiredo, Américo |
Keywords: | Amputation; Laser therapy; Penile neoplasms; Amputação; Neoplasias penianas; Terapia a laser | Issue Date: | 2013 | Publisher: | Elsevier | Serial title, monograph or event: | Anais Brasileiros de Dermatologia | Volume: | 88 | Issue: | 5 | Abstract: | Conservative treatment of penile squamous cell carcinoma has been advocated as a method of choice for tumours at early stages. Thirty patients with a mean age of 63.2 years were treated with CO2 laser ablation, radical local excision with preputial flap, direct closure or healing by secondary intention, circumcision alone or associated with CO2 laser and topical imiquimod. Sixteen patients had local recurrence. Partial penectomy was necessary in 3 patients. Conservative treatments of penile squamous cell carcinoma in early stages (≤ T1a) do not seem to compromise the survival rate, so it may be advisable for this subset of patients. O tratamento conservador do carcinoma espinocelular do pênis tem sido o método de escolha para tumores em estádios iniciais. Trinta doentes com idade média de 63,2 anos, foram tratados com: ablação com laser CO2, excisão radical seguida de retalho prepucial, encerramento direto ou cicatrização por segunda intenção, circuncisão isolada ou associada a laser CO2 e imiquimod. Dezasseis doentes apresentaram recidiva local. No seguimento, houve necessidade de penectomia parcial em 3 doentes. O tratamento conservador do carcinoma espinocelular do pênis em estádio ≤ T1a não parece comprometer a taxa de sobrevida, pelo que pode ser recomendável neste subgrupo de doentes. |
URI: | https://hdl.handle.net/10316/109699 | ISSN: | 0365-0596 | DOI: | 10.1590/abd1806-4841.20131970 | Rights: | openAccess |
Appears in Collections: | FMUC Medicina - Artigos em Revistas Internacionais |
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