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Table 1 Clinical manifestations of penile verrucous carcinoma

From: Optimal treatment for penile verrucous carcinoma: a systematic literature review

Case

(Ref.)

Age

(years)

Case history

(months)

Tumor size

(Cm)

Tumor shape

Tumor location

Stage

(TNM)

Operation

Adjuvant threatment

Lymphnode

metasatsis

Follow up

(months)

/disease free

Recurrence

(months after)

Associated disease

HPV

Year

of

issue

1(47)

49

12

5 × 4.5 x 2

Papillary cauliflower

Glans, coronoid sulcus,

Ta

local excision

Systemic bleomycine, methotrexate,

none

48/no

24

Anaplastic spindle cell carcinoma

Negative

1994

     

shaft

  

Radiotherapy

   

Malignant transformation after Radiotherapy

  

2(46)

62

3

3

Cauliflower-like

Prepuce, coronal sulcus

Ta

Local excision

None

None

54/yes

26

Hybrid verrucous-squamous cell carcinoma

Negative

2000

3(45)

42

4

7

Cauliflower-like

Prepuce, glans

Ta

Local excision

CO2 laser

None

36/yes

None

None

?

2008

4(43)

51

24

?

Verrucous

Glans, coronary sulcus

Ta

Recurred mass

Liquid nitrogne, topical 5% fluorouracil

None

42/yes

None

None

?

1978

       

after local excision

       
       

and skin graft

       
       

after local excision

       

5(40)

60

?

?

?

Glans

Ta

Shaving

Intralesional interferone

None

30/yes

None

None

Negative

2000

6(39)

69

24

1

Keratotic

Glans

Ta

Shaving

Cryosurgery with liquid nitrogen

None

36/yes

None

None

?

2002

7(39)

69

24

1.5

Keratotic

Glans

Ta

Shaving

Cryosurgery with liquid nitrogen

None

36/yes

None

None

?

 

8(38)

27

12

5 × 5

Verrucous

gLans

Ta

None

Intra-aortic infusion with methotrexate

None

214/yes

None

None

?

2003

9(38)

65

3

4 × 3

Warty

Glans

Ta

None

Intra-aortic infusion with methotrexate

None

165/yes

None

None

?

 

10(38)

31

48

5 × 5

?

Shaft

Ta

Total penectomy

Intra-aortic infusion with methotrexate

None

149/yes

36/partial

None

?

 
       

due to partial response

   

Response

   
       

and unbarable pain

       

11(38)

75

120

2 × 2

?

Glans

Ta

None

Intra-aortic infusion with methotrexate

none

104/yes

None

None

?

 

12(37)

70

?

?

Verrucous

Shaft, base of penis

T1

Mohs surgery and FTSG

Cisplatin and fluorouracil with radiotherapy

none

36/yes

16

None

negative

2009

       

after recurrence (local excision)

       

13(35)

47

3

4 × 3

?

Prepuce, glans

Ta

Total penectomy

Intra-aortic infusion with methotrexate

Bilateral

37/no

18/partial

Moderately differentiated squamous cell

?

2010

       

due to partial response

   

Response

Carcinoma, malignant transformation?

  

14(35)

28

72

5 × 4.5x2

Verrucous

Prepuce, glans

Ta

None

Intra-aortic infusion with methotrexate

None

45/yes

None

None

?

 

15(32)

42

?

1

Warty

Glans

Ta

Mohs surgery

None (healed by secondary intention)

None

12/yes

None

Lichen sclerosus

?

1987

16(31)

74

12

2 × 1.5

Warty

Glans

Ta

Local excision

Failed cryotherapy with liquid nitrogen

None

48/yes

None

Pseudoepitheliomatous

negative

2000

    

Nodule

  

(surgical margin 2 cm)

    

Keratotic and micaceous balanitis

  

17(23)

60

7

3 × 3

Verrucous, ulcerative

Prepuce, glans

Ta

Partial penectomy

None

None

24/yes

None

Human immunodeficiency virus infection

negative

2015

18(20)

71

6

2.8 × 1.6

Keratotic hornlike

Glans

T1a

Partial penectomy

None

None

10/yes

None

None

Negative

1990

       

total penectomy

(due to residual tumor on the resection margins)

      

19(11)

61

?

7 × 4

Cauliflower-like

Shaft

T1a

Local excsion, skin graft

None

None

36/yes

None

None

?

2019

20(10)

30 to 86

at least 12

1 to 8

Warty or fungating

11 glans

10 Ta

9 partial penectomy

All none but

All

72 to 228

All

All none

All

1985

 

mean 47

in 10 cases

mean 3.6

(multiple nodules

2 prepuce

3 T1

3 total penectomy

1 radiotherapy

none

/yes

none

 

?

 
  

(in 5 cases

 

in 7 cases)

  

1 circumcision

(before total penaectomy)

      
 

13 cases

2,2,4,8,17 years)

            
  

in 3 cases

            

32(10)

 

(1,2,4 months)

            

33(7)

40 to 63

8 to 25

2.5 to 6.2

Cauliflower-like

Glans

Ta

Glansectomy

None

None

18 to 65

None

None

?

2001

 

mean 54 ± 7

     

with frozen section

  

mean 38 ± 14

    

34(7)

   

Cauliflower-like

Glans

Ta

Glansectomy

None

None

/Yes

None

None

?

 

35(7)

   

Cauliflower-like

Glans

Ta

Partial penectomy after

None

None

 

3

None

?

 
       

glansectomy

       

36(7)

   

Cauliflower-like

Glans

Ta

Glansectomy

None

None

 

None

None

?

 

37(6)

73

12

3

Verrucous

coronary sulcus, shaft

Ta

Local excision

None

None

24/yes

None

None

Negative

2017

38(5)

52

96

6

All

coronoid sulcus

all

Partial penectomy

All none

All

6 to 60

All

Squamous atypical hyperplasia

All

2011

39(5)

85

48

3

Exophytic papillary

Glans

Ta

Local excision

 

None

mean 36

None

None

?

 

40(5)

55

24

5

Cauliflower-like

Coronoid sulcus

 

Partial penectomy

  

/yes

 

None

  

41(5)

64

3

2

 

Glans

 

Partial penectomy

    

None

  

42(5)

74

3

3

 

Glans

 

Local excision

    

Squamous papilloma

  

43(5)

56

12

2

 

Glans

 

Local excsion

    

Squamous atypical hyperplasia

  

44(5)

52

3

2.5

 

Coronoid sulcus

 

Partial penectomy

    

None

  

45(5)

55

24

10

 

Shaft

 

Partial penectomy

    

Squamous atypical hyperplasia

  

46(5)

68

60

2

 

Coronoid sulcus

 

Circumcision,

Surgical margin 2 cm for partial penectomy

   

None

  
       

Partial penectomy

0.5–1 cm for local excision

      

47(5)

70

6

4.5

 

Glans

 

Partial penectomy

Acknowledging excessive resection in 3 cases

   

None

  

48(5)

49

3

3

 

Glans

 

Partial penectomy

For the small-sized mass limited to glans

   

None

  

49(4)

35 to 72

All ?

0.8 to 4

All

5 prepuce

All

All

All none

All

8 to 108

All

All

All

2015

50(4)

mean 51.5

  

Cauliflower-like

1 prepuce, coronoid sulcus

Ta

Partial penectomy

 

None

/Yes

but 1 case

but 1 squamous metaplasia with

?

 

51(4)

    

1 glans, coronoid sulcus

     

36, 60, 84

partial hyperkeratosis

  

52(4)

    

3 glans

         

53(4)

              

54(4)

10 cases

             

55(4)

              

56(4)

              

57(4)

       

8 Biopsy before surgical treatment

      

58(4)

       

2 circumcision before surgical treatment

      
  1. ?; missing individual data, Ref.; reference number