Dore B, Grange P, Irani J, Aubert J
Service d'Urologie, Pavilion Camille Guérin, Poitiers.
J Urol (Paris). 1989;95(7):415-8.
Two cases of glans penis epidermoid carcinoma after lichen sclerosus and atrophicus or balanitis xerotica obliterans are discussed. Relationship between both diseases are analysed but remain not clear. Balanitis xerotica obliterans gives foreskin and urethral meatus stenosis that required circumcision. Glans carcinoma can be observed many years later even after circumcision. The knowledge of lichen sclerosus and atrophicus is important to do circumcision at the beginning of the disease with a long term follow-up of these patients to realize a glans penis biopsy if necessary. Most of lichen sclerosus and atrophicus are not recognized and the frequency would be higher than reported.
讨论了两例在硬化性萎缩性苔藓或闭塞性干燥性龟头炎后发生的阴茎头表皮样癌。分析了这两种疾病之间的关系,但仍不明确。闭塞性干燥性龟头炎会导致包皮和尿道口狭窄,需要进行包皮环切术。即使在包皮环切术后多年也可能观察到阴茎头癌。了解硬化性萎缩性苔藓对于在疾病初期进行包皮环切术并对这些患者进行长期随访以便在必要时进行阴茎头活检很重要。大多数硬化性萎缩性苔藓未被识别,其实际发生率可能高于报道的数字。