Li Quan, Song Ning-Hong, Li Peng-Chao, Wang Zeng-Jun, Yang Jie, Shao Peng-Fei, Hua Li-Xin, Wu Hong-Fei, Yin Chang-Jun
Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Zhonghua Nan Ke Xue. 2012 Jul;18(7):619-22.
To investigate the safety and feasibility of glans-preserving surgery in the treatment of superficial penile cancer (SPCa).
We retrospectively analyzed the clinical data of 21 cases of SPCa treated by glans-preserving surgery in our hospital from January of 2003 to March of 2010.
The study included 21 SPCa patients aged 36 to 57 (mean 46) years, with superficial lesions involving the glans penis, coronary sulcus or shaft skin. The tumors were staged and graded TaG1 in 6 cases, TaG2 in 5, TisG1 in 2, TisG2 in 4, T1G1 in 3, and T1G2 in 1. All the patients underwent glans-preserving surgery to preserve the normal appearance and functional integrity of the glans penis, and all returned to normal sexual activity 1 month after operation, with good sexual function and sexual satisfaction. Postoperative follow-up lasted 2 to 7 (mean 5) years, and 2 cases of recurrence in situ found at 6 and 9 months, respectively, which were successfully managed by a second glans-preserving surgery.
Glans-preserving surgery is an effective method for superficial penile cancer. With proper selection of the patients, this procedure is technically safe, maximally preserves the penile appearance, and least affects the patients' sexual satisfaction.
探讨保留龟头手术治疗浅表性阴茎癌（SPCa）的安全性和可行性。
回顾性分析2003年1月至2010年3月我院采用保留龟头手术治疗的21例SPCa患者的临床资料。
该研究纳入21例年龄在36至57岁（平均46岁）的SPCa患者，浅表病变累及阴茎头、冠状沟或阴茎体皮肤。肿瘤分期及分级为TaG1 6例、TaG2 5例、TisG1 2例、TisG2 4例、T1G1 3例、T1G2 1例。所有患者均接受保留龟头手术以保留阴茎头的正常外观和功能完整性，术后1个月均恢复正常性生活，性功能及性满意度良好。术后随访2至7年（平均5年），分别于6个月和9个月发现2例原位复发，再次行保留龟头手术成功处理。
保留龟头手术是治疗浅表性阴茎癌的有效方法。合理选择患者，该手术在技术上安全，能最大程度保留阴茎外观，对患者性满意度影响最小。
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