The Surgical Management of Inguinal Lymph Nodes

The biological behavior of anterior urethral SCC is similar to that of conventional SCC of the penis as the pattern of lymphatic drainage is similar. Tumors from the glans and penile urethra metastasize initially to the superficial inguinal lymph nodes and then subsequently to the deep inguinal lymph nodes. Although prophylactic dissection was originally considered controversial for urethral cancers it is now accepted that urethral tumors should be managed along similar guidelines to those proposed for SCC penis.12 Therefore, superficial and radical inguinal node dissections are carried out according to the grade and stage of the primary tumor in accordance with the EAU guidelines 2009.32 Posterior urethral cancers are very likely to metastasize to the pelvic nodes and often a pelvic lymphadenectomy is also included in the surgical management.

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