Penile cancer accounts for 1-10% of men neoplastic diseases and 30-60% of patients have inguinal metastases at the time of diagnosis. Inguinal metastases of penile cancer with femoral vessel involvement could lead to vascular fistula and hemorrhagic shock. We present 3 consecutive patients with inguinal metastases of penile cancer complicated by infection and hemorrhage from femoral vessels invaded by the tumor. Simultaneous extra-anatomical axillo-femoral bypass graft, wide excision of tumor and groin defect reconstruction was used to achieve "tumor-free" oncologic aim and to save the lower limb. We consider the extra-anatomic axillo-femoral bypass associated with wide inguinal tumor excision and defect covering a feasible surgical solution for improving the life quality and extend life expectancy in patients with lymph node metastasis of penile cancer complicated by necrosis, infection and femoral vessel involvement.
Clujul medical (1957). 2017 Oct 20 [Epub]
Marius Fodor, Bogdan Petrut, Lucian Fodor
Vascular Surgery Department, District Emergency Hospital, Cluj-Napoca, Romania., Urology Department, Oncological Institute, Cluj-Napoca, Romania., Plastic Surgery Department, District Emergency Hospital, Cluj-Napoca, Romania.