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目的提高对转移性阴茎癌致异常勃起的认识。方法回顾1例转移性阴茎癌致异常勃起的处理过程,结合文献复习,分析发病情况、发病机理、临床特征、诊断、治疗及预后。结果1例阴茎持续痛性勃起10d、有膀胱癌手术史的患者,先接受阴茎、尿道海绵体分流术,术后症状无明显改善,2周后行阴茎全切除术。术后病理示阴茎中移行细胞癌浸润。影像学检查提示肝转移癌及肺转移癌可疑。4个月后患者死于全身衰竭。结论顽固性阴茎异常勃起结合膀胱癌病史,应考虑到膀胱癌的阴茎转移,阴茎全切除术是缓解症状的有效方法,但预后较差。
Objective To improve the understanding of abnormal erection caused by metastatic penile cancer. Methods One case of erectile dysfunction caused by metastatic penile cancer was retrospectively reviewed. The incidence, pathogenesis, clinical features, diagnosis, treatment and prognosis were analyzed with literature review. Results 1 case of penile persistent pain erection 10d, a history of bladder cancer patients, first accept the penis, urethra spontaneous shunt, no significant improvement in postoperative symptoms, 2 weeks after the total penopectomy. Postoperative pathology showed transitional cell carcinoma in the penis infiltration. Imaging studies suggest that liver metastases and lung metastases suspicious. After 4 months, the patient died of systemic failure. Conclusion Stubborn penile erection combined with bladder cancer history, should consider the bladder cancer penile metastasis, total penctomy is an effective way to relieve symptoms, but the prognosis is poor.