Contemporary Role of Radiotherapy in the Management of Primary Penile Tumors and Metastatic Disease

Squamous cell cancer of the penis is a radiocurable malignancy all too often managed solely by partial or total penectomy. Effective management of the primary tumor while preserving penile morphology and function is a priority. External radiotherapy and brachytherapy have a role to play in the definitive management of the primary tumor. Surgical nodal staging remains a cornerstone of management because it is the strongest predictor of survival, and inguinal status determines pelvic management. Postoperative radiotherapy of the regional nodes for high-risk pathology is indicated. Chemoradiotherapy should be considered as neoadjuvant treatment for unresectable nodes or as definitive management.

The Urologic clinics of North America. 2016 Nov [Epub]

Juanita Crook

Department of Surgery, Center for the Southern Interior, British Columbia Cancer Agency, 399 Royal Avenue, Kelowna V1Y5L3, British Columbia, Canada. Electronic address: .