Ficarra Vincenzp, Maffei Nicola, Piacentini Igor, Al Rabi Najati, Cerruto Maria Angela, Artibani Walter
Department of Urology, University of Verona, Italy.
Urol Int. 2002;69(3):169-73. doi: 10.1159/000063950.
Treatment of primary tumour represents one of the main issues in the management of squamous cell carcinoma of the penis. Radical surgery assures the best results in terms of oncological radicality but causes important anatomical and functional limitations and a significant quality of life compromise. It is possible to suggest a penile-sparing treatment in the presence of small size and low stage tumours. The local recurrence rates seem higher than radical surgery and the functional and aesthetic results are not excellent in all cases. Moreover, radiotherapy seems to have a negligible percentage of local complications.
阴茎原发性肿瘤的治疗是阴茎鳞状细胞癌管理中的主要问题之一。根治性手术在肿瘤根治性方面能确保最佳效果，但会导致重要的解剖和功能限制以及显著的生活质量下降。对于体积小且分期低的肿瘤，可以考虑保留阴茎的治疗方法。局部复发率似乎高于根治性手术，而且并非所有病例的功能和美学效果都理想。此外，放射治疗的局部并发症发生率似乎可以忽略不计。
