Kit Jonathan Ray Chet, Yuwono Arianto, Leow Jeffrey J, Choo Zhen Wei, Hong Seok Kwan, Tan Teck Wei
Department of Urology, Tan Tock Seng Hospital, Singapore.
Urol Case Rep. 2022 May 1;43:102092. doi: 10.1016/j.eucr.2022.102092. eCollection 2022 Jul.
Due to the rarity of scrotal squamous cell carcinoma (SCC), management of inguinal lymph nodes in scrotal SCC is largely extrapolated from management guidelines for penile SCC. This case report aims to enhance clarity on the management of inguinal lymph nodes in scrotal SCC. We recommend that for clinically node-negative patients, invasive techniques for lymph node sampling should be strongly considered and followed up with a radical inguinal lymph node dissection (ILND) where positive for lymph node metastasis. In the setting of clinically palpable lymph nodes which appear suspicious for metastasis on imaging, upfront radical ILND should be considered.
由于阴囊鳞状细胞癌（SCC）较为罕见，阴囊SCC腹股沟淋巴结的管理很大程度上是从阴茎SCC的管理指南推断而来。本病例报告旨在提高对阴囊SCC腹股沟淋巴结管理的清晰度。我们建议，对于临床淋巴结阴性的患者，应强烈考虑采用侵入性淋巴结采样技术，并在淋巴结转移呈阳性时进行根治性腹股沟淋巴结清扫术（ILND）。对于临床上可触及且影像学上怀疑有转移的淋巴结，应考虑 upfront 根治性 ILND。
