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• W2007449372 abstract "No AccessJournal of UrologyAdult Urology1 Feb 2012Prospective Evaluation of 18F-Fluorodeoxyglucose Positron Emission Tomography-Computerized Tomography to Assess Inguinal Lymph Node Status in Invasive Squamous Cell Carcinoma of the Penis Isabelle Souillac, Jérôme Rigaud, Catherine Ansquer, Louis Marconnet, and Olivier Bouchot Isabelle SouillacIsabelle Souillac More articles by this author , Jérôme RigaudJérôme Rigaud More articles by this author , Catherine AnsquerCatherine Ansquer More articles by this author , Louis MarconnetLouis Marconnet More articles by this author , and Olivier BouchotOlivier Bouchot More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.10.033AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We prospectively evaluated 18F-fluorodeoxyglucose positron emission tomography-computerized tomography to assess inguinal lymph node status, the main prognostic factor in invasive squamous cell carcinoma of the penis. Materials and Methods: From March 2005 to January 2010, 30 patients with invasive squamous cell carcinoma of the penis from the department of urology at our institution were prospectively included in this study. Lymph node status was assessed preoperatively by positron emission tomography-computerized tomography to detect subclinical metastasis in 22 patients with initially cN0 disease and quantify inguinal lymph node invasion in 8 with cN+. Results: In the 22 cN0 cases (total of 44 inguinal lymph node basins analyzed) positron emission tomography-computerized tomography had 75% sensitivity and 87.5% specificity. Positive and negative predictive values were 37.5% and 97.2%, respectively. In the 8 cN+ cases (total of 16 inguinal lymph node basins analyzed) this type of imaging had 100% sensitivity, specificity and positive predictive value. In 3 cases staged clinically as cN1 positron emission tomography-computerized tomography revealed several metabolically active lesions on the same side, which was confirmed by histological examination, up-staging these cases to pN2. Conclusions: 18F-fluorodeoxyglucose positron emission tomography-computerized tomography is a useful staging examination for invasive penile cancer. It confirms inguinal lymph node invasion and can detect subclinical inguinal lymph node invasion. References 1 : Cancer Incidence in Five Continents. Lyon: IARC Scientific Publications2007: 160. Google Scholar 2 : Tumeurs malignes du pénis: Recommandations 2010 du CCAFU. Prog Urol2010; 4: S279. Google Scholar 3 : Prognostic factors in invasive squamous cell carcinoma of the penis: analysis of 196 patients treated at the Brazilian National Cancer Institute. J Urol2008; 180: 1354. Link, Google Scholar 4 : Lymphadenography of the dorsal lymphatics of the penis: Technique and results. Cancer1967; 20: 2026. Google Scholar 5 : EAU Penile Cancer Guidelines 2009. Eur Urol2010; 57: 1002. Google Scholar 6 : Advances in the treatment of carcinoma of the penis. Urology2005; 66: 114. Google Scholar 7 : Reliability and safety of current dynamic sentinel node biopsy for penile carcinoma. Eur Urol2007; 52: 170. Google Scholar 8 : 18F-FDG PET/CT for staging of penile cancer. J Nucl Med2005; 46: 1460. Google Scholar 9 : Dynamic sentinel node biopsy in penile carcinoma: evaluation of 10 years experience. Eur Urol2005; 47: 601. Google Scholar 10 : A comparison of physical examination and imaging in determining the extent of primary penile carcinoma. BJU Int2003; 91: 493. Google Scholar 11 : Prospective evaluation of hybrid 18F-fluorodeoxyglucose positron emission tomography/computed tomography in staging clinically node-negative patients with penile carcinoma. BJU Int2009; 104: 640. Google Scholar 12 : Accuracy of 18F-FDG PET/CT in detecting pelvic and paraaortic lymph node metastasis in patients with endometrial cancer. AJR Am J Roentgenol2008; 190: 1652. Google Scholar 13 : Scanning with 18F-FDG-PET/CT for detection of pelvic nodal involvement in inguinal node-positive penile carcinoma. Eur Urol2009; 56: 339. Google Scholar 14 : Tumors of the penis. In: Campbell's Urology. Edited by . Philadelphia: Saunders2002: 2945. Google Scholar 15 : Long-term followup of penile carcinoma with high risk for lymph node invasion treated with inguinal lymphadenectomy. J Urol2010; 183: 2227. Link, Google Scholar 16 : (18)F-FDG PET/CT for monitoring induction chemotherapy in patients with primary inoperable penile carcinoma: first clinical results. Eur J Nucl Med Mol Imaging2010; 37: 1474. Google Scholar Departments of Urology and Nuclear Medicine (CA), Nantes University Hospital, Hôtel Dieu, Nantes, France© 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 2February 2012Page: 493-497 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.Keywordslymph node excisionfluorodeoxyglucose F18neoplasm metastasispenispositron-emission tomographyMetricsAuthor Information Isabelle Souillac More articles by this author Jérôme Rigaud More articles by this author Catherine Ansquer More articles by this author Louis Marconnet More articles by this author Olivier Bouchot More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2007449372 title "Prospective Evaluation of ¹⁸ F-Fluorodeoxyglucose Positron Emission Tomography-Computerized Tomography to Assess Inguinal Lymph Node Status in Invasive Squamous Cell Carcinoma of the Penis" @default.
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