Publications by authors named "P Hadway"

Article Synopsis
  • Frozen section examination (FSE) of tumor margins during penile-preserving surgery (PPS) is crucial for determining how much tissue to excise in penile cancer patients.
  • A study analyzed 137 cases of penile squamous cell carcinoma (SCC) using FSE and found a sensitivity of 66.7% and specificity of 100%, with 86.1% showing negative margins.
  • The results suggest that FSE is a reliable tool for assessing margins in PPS, helping reduce unnecessary tissue removal, although the study's retrospective nature poses some limitations.
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Background: Penile cancer is a rare male genital malignancy. Surgical excision of the primary tumour is followed by radical inguinal lymphadenectomy if there is metastatic disease detected by biopsy, fine needle aspiration cytology (FNAC) or following sentinel lymph node biopsy in patients with impalpable disease. However, radical inguinal lymphadenectomy is associated with a high morbidity rate, and there is increasing usage of a videoendoscopic approach as an alternative.

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We present a case of a 70-year-old gentleman who was referred to our tertiary 2-week-wait penile cancer clinic with a penile mass that was ulcerated, painful and discharging. This was suspicious for penile cancer and a radical circumcision was performed to remove the diseased foreskin en bloc with the lesion that was arising from the inner foreskin. Histopathology did not reveal cancer; however, we identified spirochaetes in keeping with syphilis.

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Penile cancer (PeCa) is rare, and the oncological outcomes in younger men are unclear. We aimed to analyse and compare oncological outcomes of men age ≤50 years (y) and >50 years with PeCa. A retrospective analysis of men ≤50 y with penile squamous cell carcinoma managed at a tertiary centre was performed.

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Background: Squamous cell carcinoma (SCC) of the scrotum is a rare and aggressive cancer. There are no established guidelines on the management of scrotal SCC.

Objective: To analyze the clinical management and outcomes of scrotal SCC.

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