Inguinal Node Dissection (Chap 81 12th ed)

Question 1

What is the false negative rate of DNSB?

Answer 1

For centers of excellence with expertise in penile cancer and ILND,
DSNB can be performed with a false-negative rate of less than 5%.

Question 2

For patients with non-palpable disease, how do you manage the inguinal region?

Answer 2

Superficial and modified ILND are options in the initial management
of inguinal region in patients with nonpalpable disease. These are
techniques have less morbidity than radical ILND.

Question 3

What is the advantage of endoscopic inguinal lymphadenectomy over open?

Answer 3

Endoscopic inguinal lymphadenectomy has been demonstrated to
have less morbidity than open ILND and to remove comparable
number of lymph nodes

Question 4

When is radical ILND indicated?

Answer 4

Radical ILND is indicated for palpable disease, with potential for
cure in inguinal-only disease, and for palliation of pain, infection, or
hemorrhage in selected patients.

Question 5

Is adjuvant chemotherapy beneficial in positive inguinal disease?

Answer 5

Adjuvant chemotherapy can aid in better outcomes in patients with
positive inguinal disease.