80例阴茎癌诊治体会

目的:总结临床病例,旨在提高对阴茎癌的诊治认识。方法:总结80例阴茎癌发病诊治情况,其中鳞状细胞癌72例,疣状瘤癌8例。手术治疗74例,其中行阴茎部分切除术56例,阴茎全切会阴部造口术18例;其中24行腹股沟淋巴清扫术。结果:74例获得随访1-10年。2年、3年和5年生存率分别为91.8%、86.4%和59.5%。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。

Objective： To summarize experience in the diagnosis and treatment of carcinoma of penis. Methods ： Medical records of Forty patients with penile cancer in the Department of Urology. Thirty - six had squamous cell carcinoma, four had verrucous carcinoma. Twenty -eight patients received partial penectomy, nine received total penectomy and perineal urethrostomy, tweleve patients received ilioinguinal lymphadenectomy. Results：Thirty- seven cases were regularly followed up for one to 10 Years, The 2 -, 3 - and 5 - year survival rates were 91.8%, 95.1% , 86.4% and 59. 5%. Conclusion：The phimosis, the redundant prepuce and bad health habit are the main risk factors for the disease. The effect of the surgical treatmen for carcinoma of the penis were good and the survival rate of thepatients were higher. It＇ s suggested that the biopsy for ingninaUymph node before dissection is necessary. The problem, sentinel lymph node and malignant change of papilloma of the penis were also discusse.