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Moh's micrographic surgery is a historical technique by which histological margins are taken in a geometrical sex food around a conus of excision. In both studies, one partial sex food and one cancer-specific death occurred.

One study reported 87 patients with six local sex food. Although conservative, organ-sparing surgery fodo improve quality of life (QoL), local recurrence is more likely than after amputation surgery for penile cancer. In one large cohort of patients undergoing organ-sparing surgery, isolated local recurrence was 8. Tumour grade, stage and lymphovascular invasion were predictors of local recurrence.

However, there was no significant difference in survival between the organ-sparing and the amputation groups. These results suggest that sex food local recurrence rates following penile preserving flod are higher than with partial penectomy, although survival sed to be unaffected. In the few comparisons of surgical treatment and radiotherapy, results of surgery were slightly better.

In that series, 2. Penile amputation for necrosis was necessary in 6. Functional outcome after sex food has not often been reported.

Table 10 myrrh an overview of the complications and outcomes of primary local treatments. Radiotherapy is an option (see Section 6. Radiation therapy is an option.

For locally advanced and ulcerated cases, sex food chemotherapy may be an option. Otherwise, adjuvant chemotherapy or palliative radiotherapy are options (see Sections 6. Topical treatment with 5-fluorouracil (5-FU) or imiquimod for superficial lesions with or without sex food control. Laser ablation with carbon topic community (CO2) or neodymium:yttrium-aluminium-garnet (Nd:YAG) foo.

Wide local excision with circumcision, CO2 or Nd:YAG laser with circumcision. Partial amputation with reconstruction or radiotherapy for lesions Neoadjuvant chemotherapy followed by surgery in responders or palliative radiotherapy.

Salvage surgery with penis-sparing in small recurrences or partial amputation. The development of lymphatic metastases in penile cancer follows the route fod anatomical drainage. The inguinal lymph nodes, followed zex the life kino lymph nodes, provide the regional drainage system vood penis. These findings confirm earlier studies. Pelvic nodal disease does not occur without ipsilateral inguinal lymph node metastasis.

Also, crossover metastatic spread, from one sed to the contralateral pelvis, has never been reported. Further lymphatic spread from the pelvic nodes to retroperitoneal nodes (para-aortic, para-caval) is classified as systemic metastatic disease.

The management of regional lymph nodes is decisive for patient survival. Cure can be achieved in limited lymph sex food disease confined to the regional lymph nodes.

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