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无远处转移的阴茎癌在处理上有两个主要问题,即对原发灶的治疗与区域淋巴结转移的研究和处理。作者报告1974～1985诊治的79例无远处转移的阴茎癌的经验。年龄28.3～87.2岁,平均64.4岁,9例<40岁。临床分期,N043例(无肿大淋巴结),N1～331例(单侧或双侧淋巴结肿大),Nx5例(无记载)。开初治疗原发瘤无固定模式,当患者较年轻、病灶小,则作根治性放疗和/或有限的手术,当肿瘤大、年老者,主要作根治术。腹股沟一股—髂淋巴结清扫(IFID)不列为常规仪在组织学证实有腹股沟转移者。1978年后才对每例作单侧或双侧位于隐静脉内侧的哨兵淋巴结活检(SLN)。根据SLN活检结果再分为:确定的N0
There are two major problems in the management of penile cancer without distant metastasis, namely, the treatment and regional lymph node metastasis of primary tumors. The authors report 79 cases of penile cancer with no distant metastasis from 1974 to 1985. Ages 28.3 to 87.2 years old, average 64.4 years old, 9 cases <40 years old. Clinical stage was N043 (no enlarged lymph nodes), N1 to 331 (unilateral or bilateral lymphadenopathy), and Nx5 (undocumented). The initial treatment of primary tumors has no fixed pattern. When the patient is younger and has a smaller lesion, radical radiation therapy and/or limited surgery are performed. When the tumor is large and old, radical surgery is mainly performed. The groin one-ankle axillary dissection (IFID) is not classified as a conventional device with histological confirmation of inguinal metastases. Only after 1978 was a sentinel lymph node biopsy (SLN) performed unilaterally or bilaterally on the inside of the saphenous vein. According to SLN biopsy results are further divided into: determined N0