A STUDY OF CARCINOMA OF THE PENIS: Second Report: Prognostic Studies on 49 Cases

Fifty-eight cases of cancer of the penis were treated in our clinic between 1955 and 1977. In our first report, we reported clinicostatistical studies on 58 cases of cancer of the penis, and that the over-all 5-year survival rate of 49 cases was 77.6%. In this report, we studied side effects and complications of the treatments, and the prognosis of all sorts of treatments. The results are summarized as follows: Fifteen out of 50 cases (30.0%) suffered from stricture of the urethra after amputation of the penis. Fourteen out of 48 cases (29.2%) suffered from lymphorrhea after inguinal lymphadenectomy. Four out of 14 cases (28.6%) suffered from late radiation injury after radiotherapy of the penis. All of 25 cases (100%) suffered from some side effects of Bleomycin, and 2 cases (8.0%) suffered from pulmonary fibrosis, as the most serious side effect. The over-all 5-year survival rate of 17 cases with Bleomycin treatment was 76.5%, and that of 32 cases without Bleomycin treatment was 78.1%. And, there was no statistically significant difference (P