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Penile Cancer — SCE Medical Oncology MCQ

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ModerateUrological CancersPenile CancerSCE Medical Oncology

A 50-year-old man with penile squamous cell carcinoma (T2, palpable inguinal lymphadenopathy) undergoes primary tumour excision. Bilateral inguinal lymph nodes are palpable. What is the appropriate inguinal lymph node management?

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Correct answer: C — Bilateral inguinal lymph node dissection

In penile SCC with palpable inguinal lymphadenopathy, a 4-6 week trial of antibiotics can be given to exclude reactive lymphadenopathy (especially if there is concurrent infection). If nodes persist after antibiotics, bilateral modified radical inguinal lymph node dissection is required for both staging and therapeutic purposes. FNA or core biopsy can confirm malignancy before surgery. Sentinel node biopsy is reserved for clinically node-negative (cN0) patients.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/cancer