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目的探讨阴茎癌有效合理的诊断及治疗方法。方法回顾性分析51例阴茎癌患者的临床资料,其中鳞状细胞癌44例,鳞状上皮乳头状瘤恶变7例。均行手术治疗,其中行单纯肿瘤切除+包皮环切术2例,阴茎部分切除术36例,阴茎全切+尿道会阴部造口术13例,行双侧腹股沟淋巴结清扫术11例。结果41例获得随访,行阴茎部分切除术者2年和5年生存率分别为83.3%和76.7%,行阴茎全切除术者2年和5年生存率分别为72.7%和63.6%。结论阴茎癌早期诊断并予以手术为主的治疗对于改善患者预后十分重要,证实有淋巴结转移者应积极行髂腹股沟淋巴结清扫术。
Objective To explore effective and reasonable diagnosis and treatment of penile cancer. Methods The clinical data of 51 patients with penile cancer were retrospectively analyzed, including 44 cases of squamous cell carcinoma and 7 cases of squamous cell carcinoma of the squamous cell carcinoma. All patients underwent surgical resection, including 2 cases of simple tumor excision + circumcision, 36 cases of penile partial resection, 13 cases of complete penis perforation and urethra perineum and 11 cases of bilateral inguinal lymphadenectomy. Results The 41 patients were followed up for 2 years and 5 years. The 2-year and 5-year survival rates were 83.3% and 76.7% respectively. The 2-year and 5-year survival rates were 72.7% and 63.6%, respectively. Conclusion Early diagnosis and surgical treatment of penile cancer is very important to improve the prognosis of patients, confirmed that patients with lymph node metastasis should be actively performed iliovaginal lymph node dissection.