Microscopically Controlled Surgery in the Treatment of Carcinoma of the Penis

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Abstract
Complete removal of carcinoma of the penis can be achieved by excision of the neoplasm layer by layer and microscopic examination of the entire undersurface of each layer by the systematic use of frozen sections. Microscopic guidance provide substantial assurance of eradication of the primary cancer, and permitted preservation of maximal amounts of normal tissue and normal functions. In a series of 29 consecutive cases of squamous cell carcinoma of the penis the 5-yr cure rate among the 25 determinate cases was 68%. Only 1 patient had cancer limited to the prepuce indicated that circumcision is usually successful for neoplasms so limited. The primary carcinoma was eradicted in 23 of the 25 lesions (92%).