This protocol applies to patients with distant metastatic penile squamous cell carcinoma (M1) — disease confirmed to have spread to distant sites beyond regional nodes.
First-line palliative systemic therapy is the cornerstone of management in this stage, and patient enrolment in structured research programmes forms a recognised part of the care pathway.
Offer patients with distant metastatic disease platinum-based chemotherapy as the preferred approach to first-line palliative systemic therapy.
Offer patients with progressive disease under platinum chemotherapy the opportunity to enrol in clinical trials, including experimental therapies within phase I or basket trials.