@UrologyQuiz Quiz2 Follow-up MCQs: (ANSWERS BELOW!) 1.

Premalignant lesions that are sporadically associated with SCC of the penis include: A) Cutaneous horn of the penis B) Bowenoid papulosis of the penis C) Balanitis xerotica obliterans (lichen sclerosus et atrophicus) D) Erythroplasia of Queyrat and Bowens disease 2. Non-palpable lymph nodes in penile cancer A) Should undergo a complete groin dissection B) Should always have dynamic sentinel lymph node biopsy undertaken B) Management will depend on the primary lesion in most instances C) Should always have a period of surveillance

3. PET-CT as part of staging in penile carcinoma A) is routine B) if demonstrates pelvic lymph node metastases should encourage systemic chemotherapy C) is only applicable if a patient has high risk primary disease D) has no role in staging penile cancer

ANSWERS

Q1 Answer D: these are carcinoma in situ at high risk of developing SCC of the penis (up to one-third transform to invasive SCC), A-C correct Q2 Answer C: Management will depend on the primary lesion in most instances. A overly aggressive, B- very low grade such as Ta may have surveillance (or DSLNB) and D- only in low risk disease
EAU guidelines [http://www.uroweb.org/gls/pdf/12_Penile_Cancer_LR.pdf]

Q3 Answer B: If positive should definitely consider chemotherapy (guidelines as above); D it dioes have a role when nodes are palpable or positive but not A routinely and could be done C if nodes were positive even in intermediate disease