Der Urologe

, Volume 57, Issue 4, pp 423–427 | Cite as

Lokale Therapie beim Peniskarzinom

Leitthema
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Zusammenfassung

Bei der lokalen Therapie des Peniskarzinoms standen in den letzten Jahrzehnten v. a. radikalchirurgische Eingriffe mit Entfernung des primären Tumors im Vordergrund. Aufgrund der erheblichen psychoonkologischen Auswirkungen der Therapie des Primärtumors findet sich nun in den Leitlinienempfehlungen zum Peniskarzinom eine klare Empfehlung zum anzustrebenden Organerhalt und es sollte vor jedem operativen Eingriff eine histologische Sicherung des Peniskarzinoms erfolgen. Auch für fortgeschrittenere Tumoren sollte die Überlegung eines plastisch-rekonstruktiven Vorgehens in Erwägung gezogen werden. Die Therapie des Primärtumors sollte sich an dem Stadium sowie der lokalen Ausdehnung und Größe des zu operierenden Tumors orientieren. Der Beitrag möchte aktuelle Standards in der Lokaltherapie des Peniskarzinoms aufzeigen.

Schlüsselwörter

Lokalrezidiv Histologie Carcinoma in situ Chemotherapie Strahlentherapie 

Local treatment of penile cancer

Abstract

In recent decades, the local treatment of penile cancer has focused primary on the removal of the primary tumor. Due to the significant psycho-oncological effects of treating the primary tumor, the guidelines on penile cancer now contain a clear recommendation for preserving the target organ and prior to each surgical procedure histological examination should be performed to confirm the penile cancer. For more advanced tumors, reconstructive plastic surgery should also be considered. The treatment of the primary tumor should be based on the stage and the local extent and size of the tumor. The aim of this article is to highlight current standards in the local treatment of penile cancer.

Keywords

Local neoplasm recurrence Histology Carcinoma in situ Chemotherapy Radiotherapy 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

C. Protzel und O. W. Hakenberg. geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Helios Kliniken SchwerinSchwerinDeutschland
  2. 2.Klinik für UrologieUniversitätsklinikum RostockRostockDeutschland

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