Editing EAU & ASCO: Penile Cancer 2023 (section)

=== Imaging ===

==== Local ====

* '''<span style="color:#ff0000">Not routinely indicated'''
** Physical examination is a reliable method for estimating penile tumour size and clinical T stage
* '''<span style="color:#ff0000">Indications (2)'''
*# '''<span style="color:#ff0000">Uncertainty if the tumour invades the cavernosal bodies (cT3)'''
*# '''<span style="color:#ff0000">Organ-sparing treatment options (e.g., glansectomy) are considered'''
* '''<span style="color:#ff0000">Modalities'''
** '''<span style="color:#ff0000">MRI (preferred)'''
*** '''MRI with and without artificial erection showed similar accuracy in local staging'''
** Penile ultrasound, if MRI not available

==== Regional/Distant ====

* '''<span style="color:#ff0000">Indications (1)'''
*# '''<span style="color:#ff0000">Clinically node-positive patients'''
*'''<span style="color:#ff0000">Modality'''
**'''<span style="color:#ff0000">18FDG-PET/CT'''
***Imaging with 18FDG-PET/CT is likely to be more accurate than CT alone
***CT and MRI have similar sensitivity and specificity for lymph node metastasis