Figure 4.

A 38-year-old man with HgT1 penile cancer who underwent wide local excision of primary lesion. Axial CT imaging (A) demonstrates 2.8 cm right inguinal lymph node (arrow). 18F-FDG PET (B) image shows tracer uptake within the right inguinal adenopathy (arrow) which confirms presence of metastasis. Lymphoscintigraphy was performed (C) showing sentinel node corresponding with nodal mass (arrow). Inguinal lymph node dissection was performed with final pathology revealing 3.5 cm nodal metastasis and 9 benign lymph nodes.