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目的 探讨腹股沟淋巴结活检及髂腹股沟淋巴清扫在阴茎癌治疗中的作用。 方法 报告 1982年 1月～ 1997年 7月收治的 6 3例阴茎癌的临床资料 ,在切除阴茎原发病灶同时行无选择性双侧腹股沟淋巴结活检 ,并对淋巴结活检阳性者行双侧髂腹股沟淋巴清扫术。 结果 11例 (15侧 )淋巴结活检阳性 ,1例假阴性。淋巴清扫后 ,原活检阴性侧髂腹股沟未见淋巴转移 ,阳性侧有 1例存在Cloquet淋巴结转移。 结论 在切除阴茎癌肿的同时应作双侧腹股沟淋巴结活检 ,延期对活检阳性侧腹股沟淋巴清扫 ;对阴性侧腹股沟及无论有无癌转移的髂淋巴清扫意义不大。
Objective To investigate the role of inguinal lymph node biopsy and ilio-inguinal lymph node dissection in the treatment of penile cancer. Methods The clinical data of 63 cases of penile cancer admitted from January 1982 to July 1997 were retrospectively analyzed. The bilateral primary inguinal lymph node biopsy was performed simultaneously with the primary lesion of the penis. The bilateral iliovaginal groove Lymphadenectomy. Results 11 cases (15 sides) lymph node biopsy positive, 1 case of false negative. Lymphatic dissection, the negative biopsy of the iliovaginal groin no lymph node metastasis, positive side there is a case of Cloquet lymph node metastasis. Conclusions The bilateral inguinal lymph node biopsy should be performed at the time of resection of the penile cancer and the biopsy should be delayed for the biopsy-positive lateral groin lymphadenectomy. There is not much significance for the negative lateral groin and iris-lymph node dissection with or without metastasis.