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Dissemination to regional lymph nodes was verified in 49 (18.8%) out of 260 cases of penile carcinoma. The frequency of metastasis in poorly differentiated squamous cell carcinoma was 2.2 times that in well-differentiated tumor. Similarly, in endophytic growth patients, it was 2.7 times that of exophytic tumors. Also, a significant correlation was established between the frequency of dissemination to lymph nodes and primary tumor size: 4.6% for T1, 19.3%--T2 and 30.9%--T3, respectively, and T4 was identified in 3 out of 5 patients.
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