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作者用钕钇铝石榴有(Nd:YAG)激光治疗了16例阴茎鳞痛患者。5例患者为原位癌,9例为T1期肿瘤,2例为T2期肿瘤。患者均拒绝传统的阴茎部分切除术。在激光治疗前,对所有患者均行包皮环切和深部组织活检术。治疗后随访达12~36个月。随访中5例原位癌患者均无肿瘤复发。9例T1期患者中6例(67%)和平均随访26个月时无肿瘤复发。2例T2期患者虽有肿瘤缩小,但未治愈。作者指出,激光治疗阴茎癌的最大优点是可以保留阴茎。
The authors treated 16 patients with penile squamous pain with a Nd:YAG laser. Five patients were in situ carcinomas, 9 were T1 tumors, and 2 were T2 tumors. Patients refused to undergo traditional partial resection of the penis. Prior to laser treatment, circumcision and deep tissue biopsy were performed on all patients. Follow-up up to 12 to 36 months after treatment. No cancer recurrence was found in 5 patients with carcinoma in situ during follow-up. Nine out of 9 patients (67%) with T1 disease had no tumor recurrence after a mean follow-up of 26 months. In 2 patients with T2 disease, although the tumor was shrinking, it was not cured. The authors pointed out that the greatest advantage of laser treatment of penile cancer is that it can retain the penis.