病例男,47岁,住院号50545。因大便次数增多,伴脓血便半年,经钡灌肠及直肠镜检查诊断为直肠癌。于1977年3月行直肠癌根治术。病理报告:直肠粘液腺癌。术后静注5-Fu 10g,Mitomycine 20mg,患者恢复较好。 1978年10月阴茎根部背侧正中处皮下出现一绿豆大小硬结,半固定,间有微痛,拟诊为阴茎海绵体炎,未予处理。硬结缓慢增大,至1979年2月硬结约1.0×1.5cm,与皮肤粘连,基底固定,边界尚清楚,质坚硬,表皮完整,有轻触痛。2月15日行阴茎肿物切除术,病理诊断;皮下转移性粘液腺癌。与首次病理镜检相似。术后辅以放疗,180kV X线,DT4000 cGy。至1979年3月20日因咳嗽、胸闷一个月入院。体检:慢性重病容,气促。全身浅表淋巴结不肿大。右肺呼吸音减低,腹软,肝脏不肿大,腹部未触及包块,无腹水征。阴茎根部背侧正中处皮下可 Case male, 47 years old, hospital number 50545. Due to increased stool frequency, with pus and blood will be six months, rectal enema and rectal examination was diagnosed as rectal cancer. In March 1977, radical resection of rectal cancer. Pathology report: rectal mucinous adenocarcinoma. Postoperative intravenous 5-Fu 10g, Mitomycine 20mg, patients with better recovery. In October 1978, there was a mung bean induration below the midline of the dorsal root of the penis root, which was semi-fixed with slight pain. It was diagnosed as cavernous inflammation of the penis without treatment. The induration slowly increased until February 1979. The induration was about 1.0 × 1.5 cm, which was associated with the skin, the base was fixed, the border was still clear, the quality was hard, the epidermis was complete, and there was a light touch. February 15th penile tumor resection, pathological diagnosis; subcutaneous metastatic mucinous adenocarcinoma. Similar to the first pathological microscopy. After surgery supplemented by radiotherapy, 180kV X-ray, DT4000 cGy. March 20, 1979 due to cough, chest tightness one month admission. Physical examination: Chronic severe disease, shortness of breath. Superficial lymph nodes are not swollen. The right lung breath sounds are reduced, the abdomen is soft, the liver is not swollen, the abdomen does not touch the mass, and no ascites sign. The back of the penis root can be subcutaneous