Moritz D L, Lynch W S
Department of Dermatology, Case Western Reserve University, University Hospitals of Cleveland, Ohio 44106.
J Dermatol Surg Oncol. 1991 Apr;17(4):374-8. doi: 10.1111/j.1524-4725.1991.tb01714.x.
Bowen's disease or squamous cell carcinoma in situ is uncommon on the penile shaft. While surgical excision is the treatment of choice, the Mohs micrographic surgical approach ensures microscopically controlled tumor-free margins with preservation of normal tissue. While small- or medium-sized penile excisions heal very well by second intention, large areas of involvement are often grafted to prevent debilitating contractures. We report a case of near circumferential penile Bowen's disease treated by two separate operations that healed by second intention with very good cosmetic and functional results.
鲍温病或原位鳞状细胞癌在阴茎干上并不常见。虽然手术切除是首选治疗方法，但莫氏显微外科手术方法可确保在显微镜控制下获得无肿瘤切缘，并保留正常组织。对于中小面积的阴茎切除，二期愈合效果很好，但大面积受累时通常需要植皮以防止严重挛缩。我们报告一例几乎累及整个阴茎周径的鲍温病病例，通过两次单独手术治疗，二期愈合，获得了非常好的美容和功能效果。
