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伴有尿道受累的凯腊增殖性红斑:二氧化碳激光汽化治疗

Erythroplasia of Queyrat with urethral involvement: treatment with carbon dioxide laser vaporization.

作者信息

Del Losada Jesús Pozo, Ferré Asunción, San Román Begoña, Vieira Vanessa, Fonseca Eduardo

机构信息

Department of Dermatology, Hospital Juan Canalejo, La Coruña, Spain.

出版信息

Dermatol Surg. 2005 Nov;31(11 Pt 1):1454-7. doi: 10.2310/6350.2005.31217.

Abstract

BACKGROUND

Erythroplasia of Queyrat is an uncommon carcinoma in situ that usually arises on the mucosa of the glans penis or prepuce as red, shiny, sharply demarcated velvety plaques. The treatment is often difficult and associated with significant recurrence rates, especially in cases with urethral involvement.

OBJECTIVE

To evaluate carbon dioxide laser treatment in a case of erythroplasia of Queyrat with urethral involvement.

MATERIALS AND METHODS

We report a patient with erythroplasia of Queyrat involving the urethra who was treated with carbon dioxide laser vaporization.

RESULTS

Treatment with carbon dioxide laser vaporization resulted in an excellent cosmetic and functional status outcome for the glans penis and urethral lesions.

CONCLUSION

Carbon dioxide laser vaporization is probably the initial elective treatment for erythroplasia of Queyrat with urethral involvement in young immunocompetent patients. A follow-up is necessary, and new sessions of treatment should be quickly performed if recurrence occurs.

摘要

背景

凯腊增殖性红斑是一种罕见的原位癌,通常发生于阴茎头或包皮黏膜,表现为红色、光亮、边界清晰的天鹅绒样斑块。其治疗往往困难且复发率高,尤其是累及尿道的病例。

目的

评估二氧化碳激光治疗累及尿道的凯腊增殖性红斑病例的疗效。

材料与方法

我们报告1例累及尿道的凯腊增殖性红斑患者,采用二氧化碳激光汽化治疗。

结果

二氧化碳激光汽化治疗使阴茎头和尿道病变在外观和功能方面均取得了良好效果。

结论

对于年轻免疫功能正常、累及尿道的凯腊增殖性红斑患者,二氧化碳激光汽化可能是首选的初始治疗方法。随访很有必要,若复发应尽快进行新一轮治疗。

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