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阴茎癌

Carcinoma of the penis.

作者信息

Khezri A A, Dunn M, Smith P J, Mitchell J P

出版信息

Br J Urol. 1978 Jun;50(4):275-9. doi: 10.1111/j.1464-410x.1978.tb02825.x.

DOI:10.1111/j.1464-410x.1978.tb02825.x
PMID:753475
Abstract

Sixty-three patients with squamous cell carcinoma of the penis have been reviewed. The 3 year survival was 77%, and the 5 year survival was 59%. Prognosis was related to both clinical staging and histological grading. Stage I and II carcinomas were best treated by surgery alone. Stage III and IV carcinomas were best treated by local amputation of the penis combined with radiotherapy to the inguinal nodes. Surgery as a primary treatment for clinically positive nodes was successful in less than half the cases treated, and in this series was always followed by wound infection and lymphoedema. Tender, enlarged inguinal lymph nodes should be observed for up to 3 months following primary treatment, as a large percentage of these nodes are inflammatory and subside spontaneously.

摘要

对63例阴茎鳞状细胞癌患者进行了回顾性研究。3年生存率为77%,5年生存率为59%。预后与临床分期和组织学分级均相关。I期和II期癌最佳治疗方法是单纯手术。III期和IV期癌最佳治疗方法是阴茎局部截肢术联合腹股沟淋巴结放疗。手术作为临床阳性淋巴结的主要治疗方法,在不到一半的治疗病例中取得成功,并且在本系列中总是伴有伤口感染和淋巴水肿。初次治疗后应观察腹股沟淋巴结有无压痛、肿大,持续3个月,因为这些淋巴结中有很大比例是炎性的,会自行消退。

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