@article{3046673, title = "NEOADJUVANT CISPLATIN AND INTERFERON-ALPHA-2B IN THE TREATMENT AND ORGAN PRESERVATION OF PENILE CARCINOMA", author = "MITROPOULOS, D and DIMOPOULOS, MA and KIROUDIVOULGARI, A and ZERVAS, A and and DIMOPOULOS, C and LOGOTHETIS, CJ", journal = "Asian Journal of Urology", year = "1994", volume = "152", number = "4", pages = "1124-1126", publisher = "Lippincott, Williams & Wilkins", issn = "2214-3882", doi = "10.1016/S0022-5347(17)32520-X", keywords = "PENILE NEOPLASMS; INTERFERON-ALPHA; CISPLATIN; INTERFERON ALFA-2B", abstract = "We investigated the antitumor activity and toxicity of cisplatin and interferon-alpha 2B as the primary treatment of penile carcinoma. A total of 13 consecutive patients with nonmetastatic histologically confirmed invasive squamous cell carcinoma of the penis underwent treatment consisting of 20 mg./m.(2) cisplatin intravenously and 5 x 10(6) mu./m.(2) interferon-alpha 2B subcutaneously daily for 5 consecutive days. An equivalent dose of interferon was then administered subcutaneously every 2 days for 3 weeks and the regimen was repeated at 28-day intervals. Of 12 evaluable patients 9 responded: 4 achieved a pathologically confirmed complete remission of 38+, 21+, 10 and 7 months in duration (2 with relapse were treated with local therapy and remain with no evidence of disease), and 5 achieved a partial response, underwent surgical removal of residual disease and remained disease-free for 14+ to 24+ months. The most significant toxicities were anemia in 5 patients and reversible renal impairment in 3 but no patient had neutropenic fever or required platelet transfusion. We conclude that primary treatment with cisplatin and interferon-alpha 2B induced responses in 75% of 12 patients with penile carcinoma and allowed for a less radical operation than originally scheduled. A larger number of patients and longer followup will be required to confirm these encouraging preliminary results." }