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- Title
Brachytherapy for Penile Cancer Using Silicon Mold.
- Authors
Akimoto, Tetsuo; Mitsuhashi, Norio; Takahashi, Iku; Yonome, Ichiro; Takahashi, Mitsuhiro; Hayakawa, Kazushige; Niibe, Hideo
- Abstract
We analyzed the treatment results of 15 patients with penile cancer treated by afterloading brachytherapy with a silicon-made mold we devised. The group included 8 patients with Tl, 5 with T2 and 2 with T3 tumors, and inguinal lymph node metastases were noted in 4 patients. The total dose of brachytherapy ranged from 32 to 74 Gy with or without an electron beam boost. The median dose rate was 200 cGy/h ranging from 100 to 350 cGy/h. Local control was achieved in 12 of the 15 patients (80%), and was related to the T category, with 100% of Tl and 80% of T2, in contrast to 0% of T3 tumor. Three patients with partial response or residual tumor underwent amputation. Local recurrence was recognized in 1 patient with a T2 tumor, but salvaged by surgery. Penis conservation was achieved in 11 of 15 patients (73%). Of the 4 patients with inguinal lymph node metastases, 3 were controlled by surgery and radiation therapy. The other with a T3 tumor died from the disease. Brachytherapy with a mold for penile cancer was considered to be the first choice for penis-conserving therapy, and the patients with T1 and T2 tumors have good indications for this method of treatment. Copyright © 1997 S. Karger AG, Basel
- Publication
Oncology, 1997, Vol 54, Issue 1, p23
- ISSN
0030-2414
- Publication type
Article
- DOI
10.1159/000227656