Parra R O
Division of Urology, St. Louis University School of Medicine, Missouri, USA.
J Urol. 1996 Feb;155(2):560-3.
The accuracy and safety of a modified inguinal lymphadenectomy in the staging of penile cancer cases with nonpalpable groin nodes were assessed.
A modified inguinal lymph node dissection in which the saphenous vein is preserved together with reduction of the lateral, distal and proximal margins of dissection was performed on 12 consecutive men with invasive squamous carcinoma of the penis and negative inguinal nodes.
Five patients were identified with nodal metastasis. The sites of inguinal node involvement were localized within the boundaries of the dissection in all patients. No major complications occurred, and no permanent lymphedema or flap necrosis was encountered. With a followup of 14 to 72 months no patient has had recurrent disease.
The modified inguinal dissection is a reliable staging technique that also provides therapeutic benefit to patients with penile cancer and clinically negative nodes.
评估改良腹股沟淋巴结清扫术在阴茎癌腹股沟淋巴结不可触及病例分期中的准确性和安全性。
对12例阴茎浸润性鳞状细胞癌且腹股沟淋巴结阴性的男性患者进行改良腹股沟淋巴结清扫术，术中保留大隐静脉并缩小清扫范围的外侧、远端和近端边界。
5例患者被确诊有淋巴结转移。所有患者腹股沟淋巴结受累部位均局限于清扫范围内。未发生重大并发症，未出现永久性淋巴水肿或皮瓣坏死。随访14至72个月，无患者出现疾病复发。
改良腹股沟清扫术是一种可靠的分期技术，对阴茎癌且临床淋巴结阴性的患者也具有治疗益处。
