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Radiation Oncology • Genitourinary Cancers
How would you manage a cN0 penile cancer with a moderate risk of nodal metastasis?
If Dynamic Sentinel Lymph Node biopsy is not available, would you refer the patient for node dissection, radiate, or observe? What nodal regions would you treat? Would negative imaging (PET/CT etc.) change your recommendation?
Answer from: Radiation Oncologist at Academic Institution
Pathologic nodal stage is such a strong prognostic factor that patients with moderate or high risk of nodal involvement, even if cN0, should have surgical nodal staging. This includes those patients with MD and PD tumours, and T1b or higher.
PET-CT cannot show microscopic involvement.
If the...
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