Müller R P, Pötter R, Schertel L
Urologe A. 1986 Jan;25(1):23-7.
A stage dependent combined procedure of surgery and radiotherapy should be performed in penile carcinoma. Including all stages a local tumor control rate of 85% can be achieved if a radiation dosage of at least 55-60 Gy is applied. Surgery of recurrences is not impaired after radiotherapy. Prophylactic irradiation of regional lymph nodes should be performed in all tumors with more than T2 extension and in tumors located at the base of the Penis. Carcinoma of the urethra in general should be treated primarily by surgery, but in advanced tumors and in old patients a combined procedure of surgery and irradiation can be recommended. Prophylactic irradiation of the regional lymph nodes should be performed in tumors located in the proximal part of the urethra. In certain cases of infiltration of the bladder iliac lymph nodes should be irradiated as well. The results of 63 patients with penile carcinoma and 13 cases of carcinoma of the urethra are reported.
阴茎癌应采用手术和放疗相结合的分期治疗方法。如果应用至少55 - 60 Gy的放射剂量，包括所有分期在内，局部肿瘤控制率可达85%。放疗后复发手术不受影响。对于所有T2期以上的肿瘤以及位于阴茎根部的肿瘤，均应进行区域淋巴结预防性照射。一般来说，尿道癌应首先通过手术治疗，但对于晚期肿瘤和老年患者，可推荐手术与放疗相结合的治疗方法。对于位于尿道近端的肿瘤，应进行区域淋巴结预防性照射。在某些膀胱浸润病例中，髂淋巴结也应进行照射。本文报告了63例阴茎癌患者和13例尿道癌患者的治疗结果。
