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Penile Cancer Treatment (PDQ®)

Patient Version
Last Modified: 10/20/2011

Treatment Options by Stage

Stage 0 (Carcinoma in Situ)
Stage I Penile Cancer
Stage II Penile Cancer
Stage III Penile Cancer
Stage IV Penile Cancer

A link to a list of current clinical trials is included for each treatment section. For some types or stages of cancer, there may not be any trials listed. Check with your doctor for clinical trials that are not listed here but may be right for you.

Stage 0 (Carcinoma in Situ)

Treatment of stage 0 may be one of the following:

Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with stage 0 penile cancer 1. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site 2.

Stage I Penile Cancer

If the cancer is only in the foreskin, wide local excision and circumcision may be the only treatment needed.

Treatment of stage I penile cancer may include the following:

Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with stage I penile cancer 3. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site 2.

Stage II Penile Cancer

Treatment of stage II penile cancer may include the following:

Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with stage II penile cancer 4. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site 2.

Stage III Penile Cancer

Treatment of stage III penile cancer may include the following:

Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with stage III penile cancer 5. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site 2.

Stage IV Penile Cancer

Treatment of stage IV penile cancer is usually palliative (to relieve symptoms and improve the quality of life). Treatment may include the following:

Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with stage IV penile cancer 6. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site 2.



Glossary Terms

biological therapy (BY-oh-LAH-jih-kul THAYR-uh-pee)
Treatment to boost or restore the ability of the immune system to fight cancer, infections, and other diseases. Also used to lessen certain side effects that may be caused by some cancer treatments. Agents used in biological therapy include monoclonal antibodies, growth factors, and vaccines. These agents may also have a direct antitumor effect. Also called biological response modifier therapy, biotherapy, BRM therapy, and immunotherapy.
cancer (KAN-ser)
A term for diseases in which abnormal cells divide without control and can invade nearby tissues. Cancer cells can also spread to other parts of the body through the blood and lymph systems. There are several main types of cancer. Carcinoma is a cancer that begins in the skin or in tissues that line or cover internal organs. Sarcoma is a cancer that begins in bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue. Leukemia is a cancer that starts in blood-forming tissue such as the bone marrow, and causes large numbers of abnormal blood cells to be produced and enter the blood. Lymphoma and multiple myeloma are cancers that begin in the cells of the immune system. Central nervous system cancers are cancers that begin in the tissues of the brain and spinal cord. Also called malignancy.
chemotherapy (KEE-moh-THAYR-uh-pee)
Treatment with drugs that kill cancer cells.
circumcision (SIR-kum-SIH-zhun)
Surgery to remove part or all of the foreskin (loose skin that covers the head of the penis).
clinical trial (KLIH-nih-kul TRY-ul)
A type of research study that tests how well new medical approaches work in people. These studies test new methods of screening, prevention, diagnosis, or treatment of a disease. Also called clinical study.
cryosurgery (KRY-oh-SER-juh-ree)
A procedure in which tissue is frozen to destroy abnormal cells. Liquid nitrogen or liquid carbon dioxide is used to freeze the tissue. Also called cryoablation and cryosurgical ablation.
external radiation therapy (...RAY-dee-AY-shun THAYR-uh-pee)
A type of radiation therapy that uses a machine to aim high-energy rays at the cancer from outside of the body. Also called external-beam radiation therapy.
foreskin (FOR-skin)
The loose skin that covers the head of the penis.
groin (groyn)
The area where the thigh meets the abdomen.
internal radiation therapy (in-TER-nul RAY-dee-AY-shun THAYR-uh-pee)
A type of radiation therapy in which radioactive material sealed in needles, seeds, wires, or catheters is placed directly into or near a tumor. Also called brachytherapy, implant radiation therapy, and radiation brachytherapy.
laser surgery (LAY-zer SER-juh-ree)
A surgical procedure that uses the cutting power of a laser beam to make bloodless cuts in tissue or to remove a surface lesion such as a tumor.
laser therapy (LAY-zer THAYR-uh-pee)
Treatment that uses intense, narrow beams of light to cut and destroy tissue, such as cancer tissue. Laser therapy may also be used to reduce lymphedema (swelling caused by a buildup of lymph fluid in tissue) after breast cancer surgery.
lymph node (limf node)
A rounded mass of lymphatic tissue that is surrounded by a capsule of connective tissue. Lymph nodes filter lymph (lymphatic fluid), and they store lymphocytes (white blood cells). They are located along lymphatic vessels. Also called lymph gland.
Mohs micrographic surgery (moze MY-kroh-GRA-fik SER-juh-ree)
A surgical procedure used to treat skin cancer. Individual layers of cancer tissue are removed and examined under a microscope one at a time until all cancer tissue has been removed. Also called Mohs surgery.
palliative therapy (PA-lee-uh-tiv THAYR-uh-pee)
Treatment given to relieve the symptoms and reduce the suffering caused by cancer and other life-threatening diseases. Palliative cancer therapies are given together with other cancer treatments, from the time of diagnosis, through treatment, survivorship, recurrent or advanced disease, and at the end of life.
penectomy (pee-NEK-toh-mee)
Surgery to remove part or all of the penis (an external male reproductive organ).
quality of life (KWAH-lih-tee ... life)
The overall enjoyment of life. Many clinical trials assess the effects of cancer and its treatment on the quality of life. These studies measure aspects of an individual’s sense of well-being and ability to carry out various activities.
radiation therapy (RAY-dee-AY-shun THAYR-uh-pee)
The use of high-energy radiation from x-rays, gamma rays, neutrons, protons, and other sources to kill cancer cells and shrink tumors. Radiation may come from a machine outside the body (external-beam radiation therapy), or it may come from radioactive material placed in the body near cancer cells (internal radiation therapy). Systemic radiation therapy uses a radioactive substance, such as a radiolabeled monoclonal antibody, that travels in the blood to tissues throughout the body. Also called irradiation and radiotherapy.
radiosensitizer (RAY-dee-oh-SEN-sih-TY-zer)
A drug that makes tumor cells more sensitive to radiation therapy.
sentinel lymph node biopsy (SEN-tih-nul limf node BY-op-see)
Removal and examination of the sentinel node(s) (the first lymph node(s) to which cancer cells are likely to spread from a primary tumor). To identify the sentinel lymph node(s), the surgeon injects a radioactive substance, blue dye, or both near the tumor. The surgeon then uses a probe to find the sentinel lymph node(s) containing the radioactive substance or looks for the lymph node(s) stained with dye. The surgeon then removes the sentinel node(s) to check for the presence of cancer cells.
stage (stayj)
The extent of a cancer in the body. Staging is usually based on the size of the tumor, whether lymph nodes contain cancer, and whether the cancer has spread from the original site to other parts of the body.
stage 0 penile carcinoma in situ (... PEE-nile KAR-sih-NOH-muh in SY-too)
Abnormal cells or growths that look like warts are found on the surface of the skin of the penis. These abnormal cells or growths may become cancer and spread into nearby normal tissue.
stage I penile cancer (... PEE-nile KAN-ser)
Cancer has spread to connective tissue just under the skin of the penis. The tumor cells look a lot like normal cells under a microscope.
stage II penile cancer (... PEE-nile KAN-ser)
Cancer has spread (1) to connective tissue just under the skin of the penis; cancer has spread to lymph vessels or blood vessels, or the tumor cells may look very different from normal cells under a microscope; or (2) through connective tissue to erectile tissue (spongy tissue that fills with blood to make an erection); or (3) beyond erectile tissue to the urethra.
stage III penile cancer (... PEE-nile KAN-ser)
Stage III penile cancer is divided into stage IIIa and stage IIIb. In stage IIIa, cancer has spread to one lymph node in the groin and (1) to connective tissue just under the skin of the penis; cancer may have spread to lymph vessels or blood vessels, or the tumor cells may look very different from normal cells under a microscope; or (2) through connective tissue to erectile tissue (spongy tissue that fills with blood to make an erection); or (3) beyond erectile tissue to the urethra. In stage IIIb, cancer has spread to more than one lymph node on one side of the groin or to lymph nodes on both sides of the groin, and (1) to connective tissue just under the skin of the penis; cancer may have spread to lymph vessels or blood vessels, or the tumor cells may look very different from normal cells under a microscope; or (2) through connective tissue to erectile tissue (spongy tissue that fills with blood to make an erection); or (3) beyond erectile tissue to the urethra.
stage IV penile cancer (... PEE-nile KAN-ser)
Cancer has spread (1) to tissues near the penis, such as the prostate, and may have spread to lymph nodes in the groin or pelvis; or (2) to one or more lymph nodes in the pelvis, or from the lymph nodes to the tissues around the lymph nodes; or (3) to distant parts of the body.
surgery (SER-juh-ree)
A procedure to remove or repair a part of the body or to find out whether disease is present. An operation.
symptom (SIMP-tum)
An indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
topical (TAH-pih-kul)
On the surface of the body.
topical chemotherapy (TAH-pih-kul KEE-moh-THAYR-uh-pee)
Treatment with anticancer drugs in a lotion or cream applied to the skin.
wide local excision (…LOH-kul ek-SIH-zhun)
Surgery to cut out the cancer and some healthy tissue around it.

Table of Links

1http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?Diagnosis=566317&tt=1&
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2http://www.cancer.gov/clinicaltrials
3http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?Diagnosis=38222&tt=1&a
mp;format=1&cn=1
4http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?Diagnosis=38233&tt=1&a
mp;format=1&cn=1
5http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?Diagnosis=38243&tt=1&a
mp;format=1&cn=1
6http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?Diagnosis=38252&tt=1&a
mp;format=1&cn=1