It is interesting to note that the length of follow-up trended toward significance with close/positive-margin Afatinib mouse patients having longer follow-up than negative-margin patients (63.1 vs. 58.5 months, p = 0.06). This may represent surgeons increasingly attempting to achieve wider surgical margins in patients selected for APBI or a change in patient selection. Despite
these limitations, this analysis represents the largest collection of close/positive-margin APBI patients evaluated to date and supports the recommendation to obtain margins of 2 mm or greater before the adjuvant application of APBI. Good clinical outcomes were seen in patients undergoing APBI regardless of margin status. However, nonsignificant increases in the rates of IBTR were noted in patients with close or positive margins similar to
what is observed with WBI. Statistically significant increases in IBTR were noted for DCIS patients with close margins. Further prospective studies are required to validate these results and define the appropriate margin status for patients undergoing APBI. “
“Penile carcinoma accounts for 0.4–0.6% of all malignant neoplasms among men in Europe  and . Its incidence may reach 20% in some Asian, African, and South American countries. Penile cancer is a disease of elderly men Epacadostat in Europe and North America, with a peak incidence in the sixth decade of life (3), although it may affect a younger age group
in developing countries. Most tumors of the penis are squamous cell carcinomas and occur most commonly on the glans, prepuce, and the coronal sulcus. For small lesions, treatment enabling the penis body to be preserved, notably penis brachytherapy (PB) (4), is recommended to improve the quality of life. Surprisingly, sexuality, which is nevertheless an important component of the quality of life in men with cancer, has not been well studied after conservative treatment of penile cancer. By analyzing a previous series of 51 patients treated between 1971 and 1989, we obtained information about the Cediranib (AZD2171) persistence of sexuality and penile erections of patients (5), but we did not have access to information on the impact of PB on all sexual functions and sexual behavior. To answer these questions, we established a database in the Catalan and Occitan Oncology Group, which includes two cancer centers each in France and Spain. We analyzed the oncologic outcome of penile cancer, and conducted a survey by questionnaire on the sexual functions and behavior after PB treatment, in the two French centers.