患者男,41岁,自幼包茎,1986年6月尿道口后下方发现一绿豆大结节,8月龟头后上方又发生一蚕豆大肿块。10月在外院行肿块及包皮环切术,未作病理检查。术后1月,原处复发,迅速增大,至1987年2月转本所治疗。检查见阴茎龟头上,下方各有一个鸡蛋黄大、蚕豆大肿块,左侧腹股沟淋巴结肿大,余未见异常,3月行阴茎部分切除及左侧腹股沟淋巴结清扫术。病理检查,在阴茎龟头背仙冠状沟处见一污红色4×4×3cm球形肿块,表面有1×0.8cm溃破区,切面呈灰白色烂鱼肉状,局部出血坏死,基底累及龟头海绵体上方。瘤细胞多由小梭形与星芒状细胞构成,胞核大,圆形 The patient was male, 41 years old, phimosis since childhood. In June 1986, a large nodule of mung bean was found below the urethral meatus. In August, a large lump of faba bean appeared on the top of the glans. In October, lumps and circumcision were performed in the external hospital and no pathological examination was performed. In the first month after surgery, the disease recurred in the original place and rapidly increased, and it was transferred to the treatment center in February 1987. Check the penis glans penis, there is a large egg yolk, a large mass of broad beans, the left inguinal lymph nodes, the remaining no exception, in March, partial resection of the penis and left inguinal lymph node dissection. Pathological examination showed a stained red 4×4×3cm spherical mass at the back coronal sulcus of the glans of the penis, with a 1×0.8cm ulceration area on the surface. The cut surface was pale, rotten and fishy, ​​with local hemorrhage and necrosis. The basally involving the glans was above the cavernous mass. . The tumor cells are mostly composed of small spindles and starburst cells, and the nucleus is large and round