[阴茎恶性黑色素瘤。1例报告]
[Malignant melanoma of the penis. Report on one case].
作者信息
Donate Moreno Maria José, Ruiz Mondejar Rafael, Giménez Bachs José Miguel, Pastor Navarro Héctor, Salinas Sánchez Antonio S, Virseda Rodríguez Julio A
机构信息
Servicio de Urología, Complejo Hospitalario y Universitario de Albacete, Albacete, España.
出版信息
Arch Esp Urol. 2005 Sep;58(7):672-4. doi: 10.4321/s0004-06142005000700013.
OBJECTIVES
Due to the fact that melanoma of the penis is rare, we perform a bibliographic review about the subject and analyze the diagnostic criteria, clinical stages and therapeutic options.
METHODS
We report one case that was diagnosed and treated in our department.
RESULTS
85-year-old male who presented with hematuria and a red brownish irregular elevated lesion in the glans penis. Partial penectomy was performed.
CONCLUSIONS
Melanoma of the penis is a rare tumoral entity. It accounts for about 1% of all penile malignant pathologies. It has bad prognosis due to fast metastosic dissemination (regional lymph nodes and other organs) and delayed diagnosis. First choice treatment is partial penectomy with or without bilateral inguinal lymphadenectomy (depending upon degree of tumor invasiveness). In cases with metastasis treatment is palliative with chemotherapy and immunotherapy
目的
鉴于阴茎黑色素瘤罕见，我们对该主题进行了文献综述，并分析了诊断标准、临床分期和治疗选择。
方法
我们报告了在我科诊断和治疗的一例病例。
结果
一名85岁男性，出现血尿，阴茎头有红棕色不规则隆起病变。行部分阴茎切除术。
结论
阴茎黑色素瘤是一种罕见的肿瘤实体。约占所有阴茎恶性病变的1%。由于转移扩散迅速（区域淋巴结和其他器官）且诊断延迟，其预后较差。首选治疗方法是行部分阴茎切除术，可伴或不伴双侧腹股沟淋巴结清扫术（取决于肿瘤浸润程度）。对于有转移的病例，采用化疗和免疫疗法进行姑息治疗。
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