The Relationship between Characteristics of Inguinal Lymph Nodes and Pelvic Lymph Node Involvement in Penile Squamous Cell Carcinoma: A Single Institution Experience

The Relationship between Characteristics of Inguinal Lymph Nodes and Pelvic Lymph Node Involvement in Penile Squamous Cell Carcinoma: A Single Institution Experience
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DOI:
10.1016/j.juro.2013.10.140
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发表时间:
2014-04-01
期刊:
影响因子:
6.6
通讯作者:
Nicolai, Nicola
Nicolai, Nicola
中科院分区:
医学1区
文献类型:
--
作者:
Lughezzani, Giovanni;Catanzaro, Mario;Nicolai, Nicola

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Purpose: We determined predictors of pelvic lymph node metastases in patients with penile cancer.Materials and Methods: We retrieved a total of 188 node positive inguinal groins from 142 patients treated for penile cancer. Logistic regression models were fitted to test for predictors of pelvic lymph node metastases. The minimum p value method was used to determine the most significant cutoff values of each predictor.Results: Pelvic lymph node metastases were observed in 45 cases (31.7%). The 5-year cancer specific survival rate was 71.0% vs 33.2% in patients with inguinal vs pelvic lymph node metastases. The most significant cutoff values were 3 inguinal lymph node metastases and a metastasis diameter of 30 mm. According to univariable logistic regression models the number of inguinal metastases (OR 1.92, p