García-Escudero López A, Ferrutxe Frau J, Llopis Mínguez B, Baixauli Martínez J M, Perales Juan J L
Arch Esp Urol. 1978 May-Jun;31(3):235-46.
A review is made of 36 carcinomas of the penis treated in the Urology Department of the "La Fe" Hospital. The most frequent decade for their appearance is the fifties. We establish their link with restricted hygiene and with fimosis, Queyrat's erythroplasia, leukoplasia and accuminated condyloma. The treatment given depends essentially on the clinical stage. We feel that within stage A, with minimum prepuce lesions, the ideal treatment is local excision and circumcision plus radiotherapy; in the case of minimal gland lesions radiotherapy; in the rest and when the former forms of therapy fail, partial amputation of the penis. We currently treat this stage with cryosurgery although we cannot give any results because of the limited period of development of the same. In stage B, we indicate amputation plus bilateral, ilio-inguinal lymphadenectomy plus radiotherapy. In stages C and D the treatment is palliative, on the basis of polychemotherapy.
对“拉费”医院泌尿外科收治的36例阴茎癌病例进行了回顾。发病最常见的年龄段为五十多岁。我们确定了其与卫生条件受限、包茎、凯腊增殖性红斑、黏膜白斑病和尖锐湿疣的关联。所给予的治疗主要取决于临床分期。我们认为，在A期，包皮病变最轻时，理想的治疗方法是局部切除和包皮环切术加放疗；腺体病变最小时采用放疗；在其他情况下以及当先前的治疗方法失败时，行阴茎部分切除术。目前我们用冷冻手术治疗这一阶段的疾病，不过由于其开展时间有限，我们无法给出任何结果。在B期，我们建议行阴茎切除术加双侧髂腹股沟淋巴结清扫术加放疗。在C期和D期，治疗以多药化疗为基础，属于姑息性治疗。
