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.
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.
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C. Protzel und O. W. Hakenberg. geben an, dass kein Interessenkonflikt besteht.
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Protzel, C., Hakenberg, O.W. Lokale Therapie beim Peniskarzinom. Urologe 57, 423–427 (2018). https://doi.org/10.1007/s00120-018-0609-3
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DOI: https://doi.org/10.1007/s00120-018-0609-3