In certain areas of the world, squamous cell carcinoma of the penis is common.1,2 In the United States, however, this is not the case. Most urologists see few cases in their careers. Perhaps it is because of this generally small experience that there is considerable controversy surrounding therapy, most specifically the handling of the regional lymph nodes.
In this report we will review our experience with squamous cell carcinoma of the penis, emphasizing what we feel is the preferred attitude toward the regional lymph nodes.
From 1955 through 1967, 35 cases of squamous cell carinoma of the penis were found in the records of the three teaching institutions of the Urology Section of the Case Western Reserve University School of Medicine (the University Hospitals of Cleveland, the Cleveland Veterans Administration Hospital, and the Cleveland Metropolitan General Hospital). In evaluating these patients, they were first categorized according to the