42/M
Partial Penectomy + Bilateral INguinal LND
HPR
Basaloid Squmuas Ca
pT3.5*2.7
DEpth 1.5 cm
Corpora and urethra free
LVE+, PNI+
Shaft c/m 3 cm free
Skin c/m 8 cm free
Right superfacial ing LN 1/10 involved with extensive necrosis & PNE
Left superfacial ing LN 3/8 involved with extensive necrosis & PNE. 4 Left deep ing LN free
Stage pT1pN2
Ideally his bilteral pelvic LND should have been done.
Not possible now for logistics reasons.
Role of RT i believe is to prevent LN relapse. Hence I need to treat bilateral Inguinofemoral and pelvic LN to a dose of 50-60 Gy (60 Gy for lt groin)
I need opinion of house