ĐÁNH GIÁ CHẤT LƯỢNG SỐNG VÀ TỶ LỆ SỐNG CÒN CỦA BỆNH NHÂN UNG THƯ DƯƠNG VẬT SAU PHẪU THUẬT NẠO HẠCH BẸN NỘI SOI (VEIL) TẠI BỆNH VIỆN BÌNH DÂN

Abstract

Background: Inguinal lymphadenectomy in penile cancer often leads to impaired quality of life due to complications and psychological impact. VEIL is expected to reduce morbidity while maintaining oncological outcomes.

Aims: To assess quality of life (EORTC QLQ-C30) and survival (DFS) after penectomy combined with VEIL at Binh Dan Hospital.

Materials and Methods: Retrospective case series of 32 patients with penile squamous cell carcinoma underwent penectomy plus bilateral VEIL from September 2023 to March 2025. QoL was evaluated using EORTC QLQ-C30 at baseline, 3, 6, and 12 months. Survival was analyzed by Kaplan-Meier.

Results: Mean age was 54.1 years (range 37-74). There were no major postoperative complications (Clavien-Dindo ≥ IIIb). The EORTC QLQ-C30 global health status score improved markedly from 78 points preoperatively to 92 points at 12 months. The 1-year overall survival rate was 100%. The 1-year disease-free survival (DFS) rate was 84.4%. Early inguinal recurrence occurred in 15.6% of cases.

Conclusions: Penectomy combined with VEIL provides excellent quality of life improvement and favorable survival outcomes.