NCI Dictionary of Cancer Terms
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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.