Erpenbach K, Rothe H
Urologische Abteilung des Bundeswehrzentralkrankenhauses Koblenz.
Urologe A. 1990 Nov;29(6):350-3.
Perineal tumors are rare and are malignant primaries in 66% of cases. We treated three patients with perineal tumors. Histological examination led to a diagnosis of benign tumor (lipoma, granulomatous tumor) in two patients and a diagnosis of local perineal metastasis of a malignant nonseminomatous germ cell tumor in the third. After local tumor excision all patients stayed free of disease for 1-3 years. Neither physical nor clinical examination (standard blood parameters, ultrasound, X-ray of pelvis, urethrocystoscopy and rectoscopy) allowed determination before surgery of whether any of these perineal tumors was benign or malignant; percutaneous biopsy was the only way to find this out preoperatively. Radical excision of the perineal tumor is the treatment of choice. If extended dissemination has not taken place, malignant perineal tumors are curable by radical resection in nearly 80% of cases.
会阴部肿瘤较为罕见，66%的病例为原发性恶性肿瘤。我们治疗了3例会阴部肿瘤患者。组织学检查结果显示，两名患者被诊断为良性肿瘤（脂肪瘤、肉芽肿性肿瘤），第三名患者被诊断为恶性非精原细胞性生殖细胞肿瘤的会阴部局部转移。在局部肿瘤切除术后，所有患者均无病生存1至3年。术前无论是体格检查还是临床检查（标准血液参数、超声、骨盆X光、尿道膀胱镜检查和直肠镜检查）均无法确定这些会阴部肿瘤是否为良性或恶性；经皮活检是术前明确诊断的唯一方法。会阴部肿瘤的根治性切除是首选治疗方法。如果尚未发生广泛播散，近80%的恶性会阴部肿瘤通过根治性切除可治愈。
