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目的:探讨阴茎癌的诊断与治疗方法。方法:回顾性分析2000年1月~2014年12月收治149例阴茎癌患者的临床资料。结果:149例中鳞状细胞癌121例,乳头状瘤恶变13例,疣状癌9例,Paget病4例,恶性黑色素瘤2例。行阴茎部分切除术115例,阴茎全切加会阴部尿道造口术22例,腹股沟淋巴结清扫术34例。129例患者定期随访1~10年,1、2、5、10年总体生存率分别为94.2%(121/129)、90.5%(116/129)、78.3%(101/129)、17.8%(23/129)。结论:外科手术是治疗阴茎癌合理有效的方法,淋巴结转移是影响阴茎癌预后的重要因素。合理的选择腹股沟淋巴结清扫术的时机,可改善预后并减少并发症的发生。
Objective: To explore the diagnosis and treatment of penile cancer. Methods: The clinical data of 149 patients with penile cancer who were admitted to our hospital from January 2000 to December 2014 were analyzed retrospectively. Results: Among 149 cases, there were 121 cases of squamous cell carcinoma, 13 cases of malignant papillomatosis, 9 cases of verrucous carcinoma, 4 cases of Paget disease and 2 cases of malignant melanoma. Partial penis resection in 115 cases, total penopectomy plus perineal urethroplasty in 22 cases, inguinal lymph node dissection in 34 cases. The overall survival rate at 1, 2, 5, 10 years was 129.2% (121/129), 90.5% (116/129), 78.3% (101/129) and 17.8% 23/129). Conclusion: Surgery is a reasonable and effective method for the treatment of penile cancer. Lymph node metastasis is an important factor affecting the prognosis of penile cancer. A reasonable choice of inguinal lymph node dissection timing, can improve the prognosis and reduce the incidence of complications.