Practice Patterns Among Penile Cancer Surgeons Performing Dynamic Sentinel Lymph Node Biopsy and Radical Inguinal Lymph Node Dissection in Men with Penile Cancer: A eUROGEN Survey
| Autor: | Nick Watkin, Maarten Albersen, Benjamin E. Ayres, Arie Parnham, Asif Muneer, Allaudin Issa, Vijay K Sangar, Christian D. Fankhauser |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
CARCINOMA Urology Sentinel lymph node lcsh:RC870-923 lcsh:RC254-282 Biopsy Brief Correspondence medicine Penile cancer Sampling (medicine) COMPLICATIONS Science & Technology medicine.diagnostic_test business.industry General surgery Perioperative Urology & Nephrology lcsh:Diseases of the genitourinary system. Urology lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease LYMPHADENECTOMY Dissection Lymphatic system Incision Site Inguinal lymph node dissection business Life Sciences & Biomedicine Dynamic sentinel node biopsy |
| Zdroj: | European Urology Open Science, Vol 24, Iss, Pp 39-42 (2021) European Urology Open Science |
| ISSN: | 2666-1683 |
| DOI: | 10.1016/j.euros.2020.12.009 |
| Popis: | UNLABELLED: Dynamic sentinel lymph node biopsy (DSNB) and radical inguinal lymph node dissection (ILND) are important in the management of penile cancer patients, but high-level evidence for preoperative, perioperative, and postoperative management remains scarce. According to an online survey of 35 surgeons from ten European countries, 57% perform >10 ILND procedures per year and 86% offer DSNB. Furthermore, management differs substantially for dye injection site, use of lymphoscintigraphy, preferred incision sites, techniques for lymphatic control, duration of empiric antibiotic therapy, perioperative thromboprophylaxis, time points for drain removal, and definition of the ILND dissection floor. Consensus was observed for the use of perioperative antibiotics (although not duration and type) and the borders for ILND template definitions. We conclude that there is significant variation in patient management among eUROGEN penile cancer surgeons. This heterogeneity may confound multicentre studies; therefore, a consensus to standardise inguinal node management in penile cancer across European penile cancer centres is warranted. PATIENT SUMMARY: Our survey reveals that preferences and surgical techniques for inguinal lymph node sampling and removal varies significantly between European penile cancer surgeons. Consensus is needed to standardise the management approach for penile cancer. ispartof: EUROPEAN UROLOGY OPEN SCIENCE vol:24 pages:39-42 ispartof: location:Netherlands status: published |
| Databáze: | OpenAIRE |
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