摘要
目的 :寻求阴茎癌有效合理的治疗方法。方法 :总结分析了阴茎癌 6 8例 ,其中鳞状细胞癌 5 8例 ,乳头状瘤恶变 10例。行阴茎部分切除术 5 7例 ,阴茎全切除并尿道会阴部造口术 11例 ,随后行双侧腹股沟淋巴结清扫术 6例。结果 :46例获得随访 ,行阴茎部分切除术者 5年和 10年以上生存率分别为 87.7%和 82 .2 % ,行阴茎全切除术者 5年和 10年生存率分别为 85 .8%和 80 .4% ,二者比较无显著性差异 (P >0 .0 5 )。结论 :包茎、包皮过长及不良的卫生习惯是导致阴茎癌的主要因素。阴茎部分切除术是治疗 、 期阴茎癌十分合理和有效的方法 ,其生存率与阴茎全切除术无差别。对于有明显转移者 ,应积极行腹股沟淋巴结清扫术。
Purpose:investigate efficacious and advisable treatment for carcinoma of penis. Methods: materials of 58 patients with squamous cell carcinoma and 10 cases with malignant change of papilloma were reviewed. Results: 57 cases received partial amputation of the penis and perineal urethrastomy, 6 cases received inguinal lymph node dissection. 46 of all patients were followed up. The 5 year and 10 year survival rate after surgery were 85.78 % and 80.39 % in the group of patients with partial amputation and in patients with total amputation respectively. No significant differences were demonstrated(P> 0.05 ).Conclusions:The phimosis, the redundant prepuce and bad health habit are the main risk factors for the disease. The effect of the surgical treatment for carcinoma of the penis were good and the survival rate of the patients were higher. It's suggested that the biopsy for inguinallymph node before dissection is necessary. The problem, sentinel lymph node and malignant change of papilloma of the penis were also discussed.
出处
《临床泌尿外科杂志》
2000年第2期68-69,共2页
Journal of Clinical Urology
关键词
阴茎癌
前哨淋巴结
外科手术
Carcinoma of the penis Sentinel lymph node Surgery
