Tumor grade improves the prognostic ability of American joint committee on cancer stage in patients with penile carcinoma

Rodolphe Thuret, Maxine Sun, Firas Abdollah, Lars Budaus, Giovanni Lughezzani, Daniel Liberman, Monica Morgan, Rupinder Johal, Claudio Jeldres, Mathieu Latour, Shahrokh F. Shariat, Franois Iborra, Jacques Guiter, Jean Jacques Patard, Paul Perrotte, Pierre I. Karakiewicz

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose Penile cancer is rare. Thus, predicting cancer specific mortality may be difficult. We devised an accurate and yet easily applicable predictive rule that compares favorably with 2 previous models (73.8% and 74.7% accuracy, respectively). Materials and Methods We identified patients treated with primary tumor excision for all stages of penile squamous cell carcinoma between 1998 and 2006. Disease stage definitions using Surveillance, Epidemiology and End Results stage, American Joint Committee on Cancer stage and TNM classification, and tumor grade were used to predict cancer specific mortality. Predictive accuracy estimates were compared using the DeLong method for related AUCs. Results Surveillance, Epidemiology and End Results stage alone (1 predictor variable) was least accurate (74.5%). American Joint Committee on Cancer stage with tumor grade (2 predictor variables) was the most simple and most accurate (80.9%, p

Original languageEnglish
Pages (from-to)501-507
Number of pages7
JournalJournal of Urology
Volume185
Issue number2
DOIs
Publication statusPublished - Feb 2011

Keywords

  • carcinoma, squamous cell
  • mortality
  • neoplasm staging
  • nomograms
  • penis

ASJC Scopus subject areas

  • Urology

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