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阴茎癌的淋巴结清扫术。

Lymphadenectomy in penile cancer.

机构信息

Department of Urology, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands.

出版信息

Urol Clin North Am. 2011 Nov;38(4):459-69, vi-vii. doi: 10.1016/j.ucl.2011.07.004. Epub 2011 Sep 21.

Abstract

In contrast to many cancers, squamous cell carcinoma of the penis can be cured despite the presence of lymph node metastases. This characteristic is shared with testicular cancer. But unlike testicular cancer, penile carcinoma is not chemosensitive and, therefore, the focus of management has been on surgery. This article addresses all aspects of imaging and minimally invasive methods of detecting lymph node involvement. It focuses on the indications of surgical management of the regional nodes, the extent of the surgery, and its complications. Also, neoadjuvant therapy is covered.

摘要

与许多癌症不同,即使存在淋巴结转移,阴茎鳞状细胞癌也可以治愈。这一特征与睾丸癌相同。但与睾丸癌不同的是,阴茎癌对化疗不敏感,因此,治疗的重点一直是手术。本文讨论了检测淋巴结受累的所有影像学和微创方法。它侧重于区域淋巴结手术管理的适应证、手术范围及其并发症。此外,还介绍了新辅助治疗。

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