Erbersdobler A
Institut für Pathologie, Universitätsmedizin Rostock, Strempelstraße 14, 18057, Rostock, Deutschland.
Urologe A. 2018 Apr;57(4):391-397. doi: 10.1007/s00120-018-0592-8.
Penile cancer is rare in Germany and in western European countries. Our understanding of the pathogenesis and pathology of this malignancy has increased considerably in recent years.
Clinical management has become more complex, with organ-preserving strategies being increasingly favored. Associated with these developments, the demands on the pathology reports of biopsies and surgical specimens from the penis have also increased.
According to guidelines and the relevant literature, this review outlines the most important aspects that must be considered in the classification and pathological reporting of penile cancer.
Correct histological subtyping of penile cancer is important for prognostic and therapeutic considerations. There are also some peculiarities with the current TNM classification system of this tumor compared to other entities.
Handling of specimens and histopathological typing must be performed by experienced pathologists according to recent developments in the pathogenesis, classification, and therapeutic strategies of penile cancer.
阴茎癌在德国和西欧国家较为罕见。近年来,我们对这种恶性肿瘤的发病机制和病理学的认识有了显著提高。
临床管理变得更加复杂,保留器官的策略越来越受到青睐。随着这些进展,对阴茎活检和手术标本病理报告的要求也有所增加。
根据指南和相关文献,本综述概述了阴茎癌分类和病理报告中必须考虑的最重要方面。
阴茎癌正确的组织学亚型分类对于预后和治疗考量很重要。与其他实体肿瘤相比,该肿瘤目前的TNM分类系统也有一些特殊之处。
标本处理和组织病理学分型必须由经验丰富的病理学家根据阴茎癌发病机制、分类和治疗策略的最新进展来进行。