There is no credible medical evidence for adjuvant chemotherapy for penile cancer, whatever the extent of the resection. The mainstay of treatment is sugical removal and inguinal lymphadenectomy. In more advanced cases, induction, preoperative chemotherapy ha sometimes been delivered. There are also a number of reports suggesting that postop chemoradiation may be usedul in cases of positive margins. However, there are no guidelines, consensus statements or randomized studies, in fact no studies, recommending adjuvant chemotherapy.
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