摘要
目的:探讨阴茎海绵体肉瘤的临床表现、诊断和处理方法。方法:回顾性分析2例原发性阴茎海绵体肉瘤的病理和临床资料,并复习文献进行讨论。结果:2例均行阴茎全切术,术后病理证实1例为阴茎海绵体上皮样血管内皮肉瘤,术后3个月出现肺部转移,8个月后死亡;1例为阴茎海绵体上皮样肉瘤,术后半个月出现脑部转移,1个月后死亡。结论:阴茎海绵体肉瘤罕见,确诊依靠病理,治疗主张行阴茎全切术,淋巴清扫多不必施行,易远处转移,预后较差。
Objective: To investigate the clinical characteristics, diagnosis, treatment and prognosis of deep sarcoma of the penis. Methods : The pathological and clinical data of 2 cases of deep sarcoma of the penis were analyzed retrospectively and the literature reviewed. Results : Both of the cases were treated by total penectomy. Epithelioid angiosarcoma of the penis was confirmed by postoperative pathology in one patient, who died of pulmonary metastasis in the eighth month after the operation; and epithelioid sarcoma of the penis was confirmed in the other, who died of brain metastasis in the second month after the operation. Conclusion : Deep sarcoma of the penis is rare but can be diagnosed pathologically. Total penectomy is the main option for its treatment. Node dissection, with poor prognosis, is not recommended unless adenopathy is palpable.
出处
《中华男科学杂志》
CAS
CSCD
2007年第10期915-917,共3页
National Journal of Andrology
关键词
阴茎肿瘤
上皮样肉瘤
上皮样血管肉瘤
诊断
治疗
penile tumor
epithelioid sarcoma
epithelioid angiosarcoma
diagnosis
treatment