ABSTRACT

Squamous carcinoma of the penis is a rare disease in the UK but is a significant health problem in some South American and African countries, where it may account for up to 20% of male cancers. Metastases from penile cancers spread by way of the penile lymphatics to the regional nodes, specifically the superficial and deep inguinal nodes, and subsequently the external iliac and obturator nodes within the pelvis. Involvement of the regional nodes with tumour is, in fact, the best predictor of long-term survival in patients with carcinoma of the penis.