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例1 78岁,发现阴茎肿块2年,于1979年6月11日入院。2年前发现阴茎系带近阴茎头处有一米粒大小肿物,逐年增大,表面溃破,时有出血伴臭味分泌液,无疼痛及尿路症状。既往有梅毒史。体检:一般情况较好,心肺正常,两侧腹股沟淋巴结如小核桃大,质硬,不活动,无压痛。阴茎头系带处见一豌豆大小、呈黑色、表面不光滑、糜烂之肿块。实验室常规检查正常。术前诊为阴茎癌转移。1979年6月20日在局麻下行阴茎部分切除术及左腹股沟淋巴结活检术。术中见肿物质脆,大小为2×1.5×1cm,淋巴结为3×2.5×2cm。病理诊断:
Example 1 78 years old, found penile mass 2 years, on June 11, 1979 admitted. 2 years ago found penile laceration near the penis head of a grain size of tumor, increasing year by year, the surface ulceration, sometimes bleeding with odor secretion, no pain and urinary tract symptoms. Previous history of syphilis. Physical examination: the general situation is better, normal heart and lungs, both sides of the inguinal lymph nodes such as small walnut, hard, inactive, no tenderness. Penis head lace see a pea size, was black, the surface is not smooth, erosion of the mass. Laboratory routine examination was normal. Preoperative diagnosis of penile cancer metastasis. June 20, 1979 under local anesthesia penis partial resection and left inguinal lymph node biopsy. See intraoperative tumor mass brittle, the size of 2 × 1.5 × 1cm, lymph nodes 3 × 2.5 × 2cm. Pathological diagnosis: