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目的探讨股外侧皮瓣移植治疗阴茎疣状癌的方法与疗效。方法分析1例阴茎疣状癌患者的诊治资料。患者年龄42岁,肿瘤为菜花状肿物,边界不清,外生型,质硬,局部溃疡,局部尿道口及冠状沟和系带被浸润,阴茎头变形。术中病理活检确诊,在连硬麻醉下行阴茎头肿瘤切除+双侧股外侧皮瓣移植阴茎头再造+尿道外口成型术。结果肿瘤最大直径达3.5 cm,术中完整切除肿块,切缘未发现肿瘤。术后随访4月,无肿瘤复发、排尿困难等,术后4周恢复性生活。结论股前外侧皮瓣移植治疗阴茎疣状癌,能保留阴茎外观,手术效果满意,是局部浸润较重,阴茎头变形患者较理想治疗手段之一。
Objective To investigate the method and effect of lateral femoral skin flap transplantation for penile verrucous carcinoma. Methods One case of penile verrucous carcinoma was analyzed. The patient was 42 years old. The tumor was a cauliflower-like tumor with unclear boundary, extrinsic, hard and local ulcer. The local urethra and coronal groove and lace were infiltrated and the penis head deformed. Intraoperative pathological biopsy confirmed, with hard anesthesia in the removal of the penis head tumor resection + bilateral lateral femoral head flap reconstruction + urethral external portoplasty. Results The maximum diameter of the tumor reached 3.5 cm. Complete resection of the tumor during the operation showed no tumor at the margin. All the patients were followed up for 4 months without tumor recurrence and dysuria. After 4 weeks, they recovered their lives. Conclusions Anterolateral femoral skin flap transplantation for the treatment of penile verrucous carcinoma can preserve the appearance of the penis and has satisfactory surgical results. It is an ideal treatment for patients with severe local infiltration and head deformities.