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从1959～1984年共手术治疗阴茎癌82例。阴茎部分切除13例,阴茎全切除36例,阴茎全切除加腹股沟淋巴结清除33例,总的5年生存率为71.9％。阴茎癌的发生与包茎、包皮过长以及缺乏良好的个人卫生习惯有密切关系。如果病变限于阴茎头,阴茎部分切除足以获得无瘤边缘,当肿瘤侵犯阴茎体时,应行阴茎全切除,建议对腹股沟淋巴结肿大者常规进行活检,如有转移应完成淋巴结清除。原发癌的范围、腹股沟淋巴结转移与否、首次治疗是否适宜是影响预后的重要因素。
From 1959 to 1984 a total of 82 cases of penile cancer surgery. Partial resection of the penis in 13 cases, 36 cases of total penis resection, total penis resection plus inguinal lymph node dissection in 33 cases, the overall 5-year survival rate was 71.9%. The occurrence of penile cancer and phimosis, prepuce and the lack of good personal hygiene are closely related. If the lesion is limited to the glans penis, the penis resection is sufficient to obtain tumor-free margin. When the tumor infiltrates the penis, the penis should be resected. It is recommended to routinely biopsy the inguinal lymphadenopathy. If there is metastasis, lymph node dissection should be completed. The extent of primary cancer, inguinal lymph node metastasis or not, whether the first treatment is an important factor affecting the prognosis.