Evidence map›Paper›PMID 30375327›Full record

ArticleDeutsches Arzteblatt international2018

The Diagnosis and Treatment of Penile Cancer.

Oliver Walther Hakenberg, Desiree Louise Dräger, Andreas Erbersdobler, Carsten Maik Naumann, Klaus-Peter Jünemann, Chris Protzel

Open access · greenAbstract read
In one paragraph

Article in Deutsches Arzteblatt international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 3 pooled it
9.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 3 syntheses or guidelines pooled it, 146 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Impact of Sexual Activity on the Risk of Male Genital Tumors: A Systematic Review of the Literature.International journal of environmental research and public health · 2021
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. [Current diagnostics and treatment of penile cancer].Urologie (Heidelberg, Germany) · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Patient-reported outcome measures in penile cancer: a narrative review.International journal of impotence research · 2025
    Review
  15. Penile cancer treatment and sexuality: a narrative review.International journal of impotence research · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. AssessingNuclear medicine and molecular imaging · 2025
    Article
  20. Review

32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Oliver Walther Hakenberg
Desiree Louise DrägerDepartment of Urology, University Medical Center Rostock; Rostock, Germany; Institute of Pathology, University Medical Center Rostock, Rostock, Germany; Department of Urology and Pediatric Urology, Schleswig-Holstein University Hospital (UK-SH), Campus Kiel, Kiel, Germany.
Andreas Erbersdobler
Carsten Maik Naumann
Klaus-Peter Jünemann
Chris Protzel
University of Rostock · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of penile cancer in Europe lies in the range of 0.9 to 2.1 cases per 100 000 persons per year. Carcinogenesis is associated with human papilloma virus (HPV) infection and with chronic inflammation.

methodsThis review is based on publications (2010-2017) retrieved by a selective search in PubMed and EMBASE and on the guidelines of the European Association of Urology, the European Society of Medical Oncology, the National Comprehensive Cancer Network, and the National Institute for Health and Care Excellence (NICE).

results95% of cases of penile cancer are accounted for by squamous cell carcinoma, whose numerous subtypes have different clinical courses. Chronic preputial inflammation due to phimosis or lichen sclerosus is often associated with penile cancer. Circumcision lowers the risk of penile cancer (hazard ratio: 0.33). Maximally organ-preserving surgery with safety margins of no more than a few millimeters is the current therapeutic standard, because a local recurrence, if it arises, can still be treated locally with curative intent. Local radiotherapy can be performed in early stages. Lymphogenic metastasis must be treated with radical lymphadenectomy and adjuvant chemotherapy. Patients with clinically unremarkable inguinal lymph nodes nonetheless need invasive lymph node staging because of the high rate of lymphogenic micrometastasis.

conclusionPenile cancer is curable in all early stages with the appropriate treatment, but its prognosis depends crucially on the proper management of the regional (i.e., inguinal) lymph nodes. In many countries, the treatment of this rare disease entity has been centralized.

Indexed as

Carcinoma, Squamous CellEuropeHumansLymph NodesMaleNeoplasm MetastasisPenile Neoplasms

Identifiers

PMID30375327
PMCPMC6224543
OpenAlexW2891304075

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.