Lau Wei Da, Ong Chin Hu, Lim Tow Poh, Teo Colin
Department of Urology, Alexandra Health, Khoo Teck Puat Hospital, Singapore.
Singapore Med J. 2015 Nov;56(11):637-40. doi: 10.11622/smedj.2015174.
Penile cancer is an uncommon disease affecting only about one in 100,000 men worldwide in a year. The diagnosis of the condition is frequently delayed, and the disease and its treatment frequently result in significant morbidity in patients.
We herein describe seven cases of penile tumours: six cases of squamous cell carcinomas and one case of B-cell lymphoma that presented to our hospital's urology department between March 2011 and October 2012. We reviewed the literature to discuss the clinical presentation, natural history and current management of penile cancer.
The patients were followed up for 1-24 months. They were managed according to their disease stage and lymph node status. Four out of seven patients showed disease progression during the follow-up period.
The accurate staging of inguinal nodes in cases of low-risk disease is important to prescribe appropriate surgery for the inguinal nodes. Aggressive management of inguinal and pelvic lymph nodes remains the cornerstone in the treatment of high-risk disease cases.
阴茎癌是一种罕见疾病,全球每年仅约十万分之一的男性会受到影响。该病的诊断常常延迟,疾病及其治疗经常导致患者出现严重的发病情况。
我们在此描述了7例阴茎肿瘤病例:2011年3月至2012年10月期间我院泌尿外科收治的6例鳞状细胞癌和1例B细胞淋巴瘤。我们回顾了文献以讨论阴茎癌的临床表现、自然病程及当前治疗方法。
对患者进行了1至24个月的随访。根据疾病分期和淋巴结状况进行处理。7例患者中有4例在随访期间出现疾病进展。
对于低风险疾病病例,准确分期腹股沟淋巴结对于为腹股沟淋巴结制定合适的手术方案很重要。积极处理腹股沟和盆腔淋巴结仍然是高风险疾病病例治疗的基石。