How to proceed?

• 11 Jun 2020 05:15:27 PM
• |Onco Urology

52 year old male underwent circumcision for phimosis present for several years. Circumcision done in Feb 2020 elsewhere. HPE report attatched. Patient came to me with Hpe and MRI Report. Examination revealed a 2x2 cm in the glans with thickening on ventral side of glans. How to proceed further. Please guide. 

Comments(4)

• 

  Dr. Anil Takvani

  11 Jun 2020 06:03:30 PM

  Can you please share clinical status of inguinal nodes?

  Thanks

• 

  Rachhpal Singh

  11 Jun 2020 07:21:27 PM

  Dear sir, 

  Clinicallly lymph nodes not palpable. 

  
  

• 

  Tikenjit Mazumdar

  11 Jun 2020 11:59:02 PM

  Sir,1st .. patient need local control by partial amputation of penis...

  2nd... bilateral superficial inguinal lymph node dissection...if positive go for radical inguinal lymph node on side of positive node...

  No role of MRI or CT scan for local stage ing of penile tumour...only role if u consider organ preservation surgery...to rule out cavernosa or urethra infiltrate tion...

  Ct have role in palpable inguinal nodes otherwise clinical examination is sufficient

  
  

• 

  Nitesh Jain

  25 Jun 2020 12:35:53 AM

  Falls into high risk group ...needs partial amputation with bilateral modified inguinal LND