Urology>>>>> Penile Cancer
Question 7#

Which primary tumour pathological feature is NOT associated with increased risk of lymph node metastases and poorer prognosis?

A. Stage T2 or greater
B. Grade 3/4
C. Basaloid subtype
D. Perineural and vascular invasion
E. Tumour location

Correct Answer is E

Comment:

Answer E

Tumour location does not influence risk of metastatic disease, all the others do. The most important risk factors appear to be sarcomatoid and basaloid variants, higher grade, perineural and vascular invasion.