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. 2022 Sep 9;9(4):389–406. doi: 10.1016/j.ajur.2022.05.010

Table 1.

Use of EBRT in definitive management of primary penile squamous cell carcinoma.

Study Pts, n RT dose, Gy Median follow-up, month 5-year LC, % 5-year CSS, % 5-year penile preservation, % Stenosis or necrosis rate Tumor characteristic Tumor location
McLean et al., 1993 [22] 26 35 Gy/10 fx;
60 Gy/25 fx
116 61 69 66
  • NR (seven Pts with late complications)

  • 73.1% T1; 15.3% T2; 7.7% T3; 3.9% T4

  • 65% glans or prepuce; 4% shaft; 31% multiple sites

Sarin et al., 1997 [29] 59 60 Gy/30 fx 62 55 66 50
  • 3% necrosis; 14% stenosis

  • 86.4% T1; 8.5% T2; 1.7% T3; 3.4% T4

  • In 101 Pts, 78% were confined to glans; only 59 received EBRT

Gotsadze et al., 2000 [25] 155 40–60 Gy 40 65 86 65
  • 1% necrosis; 7% stenosis

  • 36.8% T1; 55.5% T2; 7.7% T3;

  • NR

Zouhair et al., 2001 [27] 23 45–74 Gy/25–37 fx 12 41 NR 36
  • 10% stenosis

  • 29% T1; 59% T2; 10% T3; 2% Tx

  • In 41 Pts: 41% glans; 22% prepuce; 20% shaft; 10% corona; 5% prepuce or glans; 2% prepuce or shaft

Azrif et al., 2006 [24] 41 50.0–52.5 Gy/16 fx 41 62 96 62
  • 8% necrosis; 29% stenosis

  • 90.2% T1; 9.8% T2

  • 98% glans/prepuce

Ozsahin et al., 2006 [23] 21 52 Gy 62 49 NR 52
  • 10% stenosis

  • 37% T1; 53% T2; 8% T3; 2% Tx

  • In 60 Pts: 40% glans; 26% prepuce; 22% shaft; 7% corona;

  • 3% prepuce/glans; 1% prepuce/shaft

Mistry et al., 2007 [26] 18 55 Gy/16 fx−50 Gy/20fx 62 63 NR 62 • 10% necrosis;
5% stenosis
  • 23.5% Tx; 17.6% in situ; 35.3% T1; 17.6% T2; 6% T3

  • In 65 Pts: 76% were on glans/prepuce; 5% on shaft

CSS, cancer-specific survival; EBRT, external beam radiotherapy; Pts, patients; RT, radiotherapy; LC, local control; NR, not reported.