Editing Penile Cancer: Squamous Penile Cancer (section)

==== Metastases ====
* '''<span style="color:#ff0000">Regional'''
** '''<span style="color:#ff0000">Physical exam of the inguinal region remains the clinical gold standard for evaluating the presence of metastasis in the non-obese patients'''
*** '''EAU Guidelines: Imaging studies are not helpful in staging clinically normal inguinal regions; however, CT or MRI should also be performed in obese patients and those who have had prior inguinal surgery, whose physical examination findings may be unreliable'''
*** '''EAU Guidelines: A pelvic CT/PET scan can be used to assess the pelvic lymph nodes'''
*** '''Campbell's: some patients may have a challenging inguinal nodal examination because of body habitus or lymphedema from prior procedures. In these patients ultrasound can be used'''. The role of computed tomography (CT), positron emission tomography (PET)-CT, or magnetic resonance imaging (MRI) is not well defined
* '''Distant'''
** '''CT scan of the chest, abdomen, pelvis'''
**'''Bone scan'''
**'''CT/PET scan'''