Testo Vitality and T 1 or T is the seasons a 71 percent 14 one now going away from a T or C is disease when it comes to t1 it's subdivided into two categories tumors that are grade 1 and 2 or too high grade tumors that wide local excision is no longer an acceptable method and partial or total penectomy are recommended of the non palpable inguinal lymph nodes now based on the NCCN guidelines the non palpable and Gonen lymph nodes in patients who have lower risk disease that is carcinoma in situ ta or t1 at 1a disease these these patients have a lower risk of metastasis approximately 9% and so in these patients surveillance or dynamic central and lymph node biopsy is an acceptable mode of treatment whereas with patients who present with non palpable lymph nodes but have intermediate or high risk disease
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