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阴茎癌的社会心理影响。

Psychosocial impact of penile carcinoma.

作者信息

Audenet François, Sfakianos John P

机构信息

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.

出版信息

Transl Androl Urol. 2017 Oct;6(5):874-878. doi: 10.21037/tau.2017.07.24.

Abstract

Penile carcinoma is a rare malignancy with a potential for local invasion and regional/distant extension. Penile cancer can be cured in over 80% of cases if diagnosed early. However, local treatment, although potentially lifesaving, can be mutilating and devastating for the patient's psychological well-being. In patients with long-term survival after penile cancer, sexual dysfunction, voiding problems and cosmetic penile appearance may adversely affect the patient's quality of life. Although there is little data in the literature about psychosocial impact of penile carcinoma, organ-preserving treatment seems to allow for better quality of life and sexual function and should be offered to all patients whenever feasible.

摘要

阴茎癌是一种罕见的恶性肿瘤,具有局部侵袭及区域/远处转移的可能性。如果早期诊断,超过80%的阴茎癌病例可以治愈。然而,局部治疗虽然可能挽救生命,但对患者的心理健康可能具有致残性和毁灭性。在阴茎癌患者长期存活后,性功能障碍、排尿问题以及阴茎外观可能会对患者的生活质量产生不利影响。尽管文献中关于阴茎癌社会心理影响的数据很少,但保留器官的治疗似乎能带来更好的生活质量和性功能,并且只要可行,就应提供给所有患者。

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本文引用的文献

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EAU guidelines on penile cancer: 2014 update.EAU 指南:阴茎癌 2014 年更新版
Eur Urol. 2015 Jan;67(1):142-150. doi: 10.1016/j.eururo.2014.10.017. Epub 2014 Nov 1.
2
The impact of surgical treatment for penile cancer -- patients' perspectives.阴茎癌手术治疗的影响——患者视角。
Eur J Oncol Nurs. 2013 Oct;17(5):661-7. doi: 10.1016/j.ejon.2013.06.004. Epub 2013 Jul 26.
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Simple, safe, and satisfactory secondary penile enhancement after near-total oncologic amputation.
Ann Plast Surg. 2009 Jun;62(6):685-9. doi: 10.1097/SAP.0b013e3181835ae1.
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Total phallic reconstruction after penile amputation for carcinoma.阴茎癌阴茎切除术后的全阴茎重建术。
BJU Int. 2009 Sep;104(6):852-6. doi: 10.1111/j.1464-410X.2009.08424.x. Epub 2009 Feb 23.

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