泌尿科-皮肤科会诊对诊断皮肤性阴茎病变的益处：一项前瞻性研究。

Benefits of Urologic-Dermatologic Consultations for the Diagnosis of Cutaneous Penile Lesions: A Prospective Study.

机构信息

Department of Urology, Angers University Hospital, Angers, France.

出版信息

Clin Genitourin Cancer. 2018 Apr;16(2):e421-e424. doi: 10.1016/j.clgc.2017.09.013. Epub 2017 Oct 5.

DOI:10.1016/j.clgc.2017.09.013

PMID:29079166

Abstract

INTRODUCTION

We evaluated the benefits of a specialized consultation created in 2014 for cutaneous penile lesions.

MATERIALS AND METHODS

We performed a descriptive prospective study evaluating all patients sent for a monthly urologic-dermatologic consultation at a French university hospital from September 2014 to September 2015 for cutaneous penile lesions. All patients evaluated were included. We collected the demographic data, clinical examination findings, and the proposed diagnosis and treatment for every patient.

RESULTS

A total of 27 patients were included; 4 (14.8%) had been referred by a general physician and 23 (85.2%) by a specialist. Cutaneous penile lesions had evolved within 12 months in 15 patients (55.6%). Penile cancer was diagnosed in 5 patients (18.5%), of which 3 were squamous cell carcinoma (11.1%), 1 was metastasis of melanoma (3.7%), and 1 was extramammary Paget disease (3.7%). In addition, 1 patient (3.7%) had a premalignant lesion on a condyloma, 12 (44.4%) had balanitis, 2 (7.4%) had psoriasis lesions, 3 (11.1%) had condylomas, 1 (3.7%) had genital melanosis, and 3 (11.2%) had normal findings. Four patients (16.6%) underwent biopsy, 8 (33.3%) underwent surgery, and 12 (50%) received local treatment.

CONCLUSION

The use of urologic-dermatology specialized consultations resulted in encouraging findings. Patients can benefit from multidisciplinary expertise and rapid treatment of various disorders. Thus, it seems important to develop reference centers created specifically for cancerous disease.

摘要

简介

我们评估了 2014 年创建的专门咨询服务对阴茎皮肤病变的益处。

材料和方法

我们进行了一项描述性前瞻性研究，评估了 2014 年 9 月至 2015 年 9 月期间在法国大学医院每月进行泌尿科-皮肤科咨询的所有因阴茎皮肤病变而就诊的患者。所有评估的患者均被纳入研究。我们收集了每位患者的人口统计学数据、临床检查结果以及提出的诊断和治疗建议。

结果

共纳入 27 例患者；其中 4 例（14.8%）由全科医生转诊，23 例（85.2%）由专科医生转诊。15 例（55.6%）患者的阴茎皮肤病变在 12 个月内进展。诊断为阴茎癌的患者有 5 例（18.5%），其中 3 例为鳞状细胞癌（11.1%），1 例为黑色素瘤转移（3.7%），1 例为外阴派杰病（3.7%）。此外，1 例（3.7%）患者的阴茎湿疣有潜在恶变，12 例（44.4%）患者有龟头炎，2 例（7.4%）患者有银屑病皮损，3 例（11.1%）患者有湿疣，1 例（3.7%）患者有生殖器黑变病，3 例（11.2%）患者为正常发现。4 例（16.6%）患者进行了活检，8 例（33.3%）患者进行了手术，12 例（50%）患者接受了局部治疗。