The incidence of penile carcinoma varies inversely with the practice of circumcision and with standards of personal hygiene, and has thus been high in our charity hospital. This report concerns 265 patients with carcinoma of the penis who were seen in the Departments of Surgery and Urology.
Mode of Spread
Carcinoma of the penis may appear as an ulcer or a proliferative or verrucous tumor (Fig. 1). Spreading of the carcinomatous process takes place mainly through the lymphatic channels, with metastatic involvement of the inguinal and iliac nodes. Anatomists do not all agree that the iliac glands are the first site of spread. Obviously, an answer to this question would determine if en block dissection of both the inguinal and iliac lymph nodes is justifiable as a routine procedure.Embolism along the lymphatics, rather than permeation or extension, is the main mechanism by which spread occurs, as shown by the