Rabii R, Rais H, el Moussaoui A, Joual A, el Mrini M, Benjelloun S
Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc.
Ann Urol (Paris). 1999;33(2):100-3.
The authors report an unusual case of perineal recurrence of squamous carcinoma of the penis in a 50-year-old, white man, circumcised during infancy and operated 5 years previously for stage T3N0M0 squamous carcinoma of the penis by total amputation of the penis. Clinical examination revealed a very large, infected perineal tumour associated with bilateral inguinal lymphadenopathy. This stage T4N2M0 tumour was treated palliatively by cystostomy, emasculation with perineal tumour reduction and antibiotics. The patient became afebrile and the infection resolved and was referred to the radiotherapy department for further treatment.
作者报告了一例不同寻常的病例，一名50岁白人男性，婴儿期行包皮环切术，5年前因T3N0M0期阴茎鳞状癌行阴茎全切术，现出现阴茎鳞状癌会阴复发。临床检查发现一个非常大的、感染的会阴肿瘤，并伴有双侧腹股沟淋巴结病。这个T4N2M0期肿瘤通过膀胱造瘘术、会阴肿瘤减瘤去势术及抗生素进行姑息治疗。患者体温恢复正常，感染得到控制，随后被转诊至放疗科进行进一步治疗。
