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 |