Penile cancer prognosis is closely related to the natural history of the neoplasm. The primary cancer progressively infiltrates penile structures, initially in a horizontal and superficial pattern of spread, followed by a stepwise vertical invasion through the penile fascia and tunica albuginea1 . However, the main characteristic of this uncommon malignancy is the high tendency to metastasize through the lymphatic vasculature to superficial inguinal, deep inguinal, and pelvic lymph nodes. The majority of patients eventually die as a result of complications related to regional lymph nodes before developing distant metastases (Fig. 10.1 a, b).

Distant metastases to lung, liver, bone, or brain are present in only 1-10% of patients with advanced lymph node involvement and these unfortunate individuals have an unfavorable prognosis with a mean survival of approximately 7-10 months.2,3

10 Ways To Fight Off Cancer

10 Ways To Fight Off Cancer

Learning About 10 Ways Fight Off Cancer Can Have Amazing Benefits For Your Life The Best Tips On How To Keep This Killer At Bay Discovering that you or a loved one has cancer can be utterly terrifying. All the same, once you comprehend the causes of cancer and learn how to reverse those causes, you or your loved one may have more than a fighting chance of beating out cancer.

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