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男性原发性尿道癌是一种罕见的恶性肿瘤。国外文献曾有报导,但国内报告不多。我院于1950年~1986年37年中共收治男性原发性尿道癌5例,占各类尿道癌病例的4.8%。临床资料男性原发性尿道癌5例,年龄49~69岁,主要有下列症状:尿流变细、排尿困难,甚至急性尿潴留。尿道有脓性或血性分泌物,会阴部硬块及尿瘘。癌肿4例位于尿道球膜部,1例在前列腺部。癌肿转移腹股沟淋巴结2例,转移腰椎骨1例,直接浸润尿道周围组织2例。病理组织学证实尿道鳞状上皮细胞癌3例,移行上皮细胞癌1例,腺癌1例。5例患者至今全部死亡,手术后最长存活4年3个月。
Male primary urethral cancer is a rare malignancy. Foreign literature has been reported, but not many domestic reports. In our hospital from 1950 to 1986, 37 cases of primary urinary tract cancer were treated in 5 cases, accounting for 4.8% of all cases of urethral cancer. Clinical data Male primary urethral cancer in 5 cases, aged 49 to 69 years, the following symptoms: urinary flow thin, dysuria, and even acute urinary retention. Urethra purulent or bloody discharge, perineal lumps and urinary fistula. Four cases of cancer were located in the urethra, one in the prostate. 2 cases of metastasis of inguinal lymph nodes in cancer, 1 case of lumbar metastasis, and 2 cases of direct infiltration of the surrounding tissue of the urethra. Histopathology confirmed 3 cases of urethral squamous cell carcinoma, 1 case of transitional cell carcinoma and 1 case of adenocarcinoma. All 5 patients have died so far, the longest survival after surgery 4 years and 3 months.