由放射性损伤引起的巨大阴茎阴囊象皮肿尚属罕见。我科治疗1例,现报告如下。 1病历摘要 患者47岁,以阴茎阴囊进行性增大9年于1992年5月30日入院。缘于1982年4月因右腹股沟蚕豆大小肿物行手术切除,病理诊断给节性淋巴肉瘤。1982年7月12日至9月2日行双侧腹股沟放疗,每侧照射剂量为DA44Gy(180KV—X线);盆腔放疗,照射剂量为DT40Gy(10MV—X线),放疗结束后1个月,双侧腹股沟及耻骨上区皮肤发红,继而出现湿疹及糜烂创面,逐渐结痂,脱皮,右腹股沟原手术部位出现一溃疡,久治不愈。双侧腹股沟皮肤逐渐形成瘢痕。1983年5月以后出现阴茎增粗,阴囊增大,进行性加重,伴有双下肢肿胀,行动不便。查体:一般情况下,右颌下可触及一肿大之淋巴结,病理活检为慢性炎症。心肺听诊正常,肝脾不大,双肾区无压痛。耻 Huge penis scrotal elephant edema caused by radioactive damage is rare. Treatment of 1 cases in our department, are as follows. A medical record Summary 47-year-old patient with penile scrotum progressive increase 9 years in May 30, 1992 admission. Due to the right groin in April 1982 due to the size of the tumor of the broad belly surgically removed, the pathological diagnosis of lymph node sarcoma. Radiotherapy was performed on both sides of the groin from July 12 to September 2, 1982. The radiation dose on each side was DA44Gy (180KV-X line). The pelvic radiotherapy was performed at a dose of DT40Gy (10MV-X), one month after the end of radiotherapy , Bilateral inguinal and suprapubic area skin redness, followed by eczema and erosion of the wound, and gradually scab, peeling, the original right groin an ulcer surgery site, long treatment. Gradual formation of bilateral inguinal skin scar. After May 1983 penis thickening, scrotum increased, progressive increase, accompanied by swelling of both lower limbs, mobility. Physical examination: under normal circumstances, the right jaw can reach a swollen lymph nodes, pathological biopsy for chronic inflammation. Cardiopulmonary auscultation normal, liver and spleen is not large, no pressure tenderness in the kidney area. shame