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Testo Vitality  performed publiclymph node dissection is prophylactically on all the patients up representedwith penile cancer and an inguinal lymph node extension of disease and theyfound that inguinal extra nodal extension and presence of two or more and gonnalymph nodes was predictive of pelvic lymph node positivity all right now whenit comes to surveillance for our penile cancer we've treated the primary andyou know have gone through the public lymph node dissection it's interestingbecause the incidence of recurrence is actually seems to be high relatively inthis study that was done by laity and colleagues I they looked at pattern ofrecurrence in 700 patients and approximately 30 percent of them had arecurrence about 90 of the 90 percent of these were in the first five yearspatients with pistol recurrences had very 


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  Sunday, June 14, 2020 at 7:42:40 AM

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