Management of the Clinically Negative (cN0) Groin Penile Cancer Patient: A Review

To determine the role of non-invasive, minimally invasive diagnostic modalities and current management recommendations for cN0 PNC, a literature review using PubMed ® and Web of Science® search engines were conducted. We found that for predicting ILN+: physical exam has limitations, nomograms are not validated, conventional CT/MRI/PET scans have minimal role, and DSLNB is the most reliable minimally invasive modality. Adverse pathological features: G3, stage ≥ T2, presence of LVI, and rare histopathological variants are important predictors of ILN+ and their presence warrants prophylactic ILND or DSLNB.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research