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一例直肠癌阴茎转移的临床病例。

A clinical case of the penile metastasis from the rectal carcinoma.

机构信息

Department of Surgery, Department of Radiology, Izmir Bozyaka Teaching and Research Hospital, Izmir, Turkey.

出版信息

Radiol Oncol. 2010 Jun;44(2):121-3. doi: 10.2478/v10019-010-0004-1. Epub 2010 May 24.

DOI:10.2478/v10019-010-0004-1
PMID:22933902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3423681/
Abstract

BACKGROUND

Penile metastases are rare and usually secondary to genitourinary and colorectal cancer.

CASE REPORT

We present a case of a 77-year-old man with penile metastasis who was operated for rectal carcinoma. He was referred to our clinic for penile ulcerous lesion, semierectile penis and voiding dysfunction. Imaging studies showed nodular lesion at glans penis and multiple bone metastases. He did not respond to chemoradiotherapy and he had bad prognosis.

CONCLUSIONS

Imaging methods and biopsy may help to clarify the diagnosis but the treatment modalities are insufficient in these patients.

摘要

背景

阴茎转移瘤较为罕见,通常继发于泌尿生殖系统和结直肠肿瘤。

病例报告

我们报告了一例 77 岁男性阴茎转移瘤病例,该患者因直肠癌接受了手术治疗。他因阴茎溃疡性病变、半勃起阴茎和排尿功能障碍被转诊至我科。影像学检查显示龟头有结节性病变和多处骨转移。他对放化疗无反应,预后不良。

结论

影像学方法和活检有助于明确诊断,但这些患者的治疗方法有限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/3423681/c031446746c0/rado-44-02-121f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/3423681/dac1aca087e0/rado-44-02-121f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/3423681/a98fcc7e1573/rado-44-02-121f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/3423681/c031446746c0/rado-44-02-121f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/3423681/dac1aca087e0/rado-44-02-121f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/3423681/a98fcc7e1573/rado-44-02-121f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/3423681/c031446746c0/rado-44-02-121f3.jpg

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本文引用的文献

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Metachronous metastasis to the penis from a rectal adenocarcinoma.直肠腺癌异时性转移至阴茎。
Clin Colorectal Cancer. 2007 Sep;6(9):657-9. doi: 10.3816/CCC.2007.n.035.
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Secondary penile tumours revisited.复发性继发性阴茎肿瘤
Int Semin Surg Oncol. 2006 Oct 11;3:33. doi: 10.1186/1477-7800-3-33.
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Metachronous metastasis to the penis from carcinoma of the rectum.直肠癌阴茎异时性转移
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Penile metastases treated with partial glansectomy and adjuvant radiotherapy 5 years after an initial diagnosis of rectal cancer.在直肠癌初次诊断5年后,采用部分龟头切除术及辅助放疗治疗阴茎转移瘤。
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