Lopes A, Rossi B M, Fonseca F P, Morini S
Division of Urology, Pelvic Surgery, Hospital A.C. Camargo, Fundação Antonio Prudente, São Paulo, Brazil.
Cancer. 1996 May 15;77(10):2099-102. doi: 10.1002/(SICI)1097-0142(19960515)77:10<2099::AID-CNCR20>3.0.CO;2-P.
In 1988, Catalona proposed a modified bilateral inguinal lymphadenectomy for staging of lymph node metastasis from penile carcinoma. All three patients with penile carcinoma submitted to this procedure and without histologically confirmed metastases were free of disease within a mean follow-up time of 14.6 months.
In a prospective study, the authors evaluated thirteen patients staged by the TNM system and submitted to modified bilateral inguinal lymphadenectomy.
None of the patients had histologic metastases in the medial quadrant lymph nodes. Two of these patients developed regional lymph node metastases within 13.2 months (mean follow-up time).
Catalona's procedure was not reliable. We therefore recommend standard inguinal lymphadenectomy as the minimal treatment for patients with infiltrating carcinoma of the penis.
1988年，卡塔洛纳提出一种改良的双侧腹股沟淋巴结清扫术用于阴茎癌淋巴结转移的分期。接受该手术且无组织学证实转移的3例阴茎癌患者在平均14.6个月的随访期内均无疾病复发。
在一项前瞻性研究中，作者评估了13例经TNM系统分期并接受改良双侧腹股沟淋巴结清扫术的患者。
所有患者在内侧象限淋巴结均无组织学转移。其中2例患者在13.2个月（平均随访时间）内出现区域淋巴结转移。
卡塔洛纳的手术方法不可靠。因此，我们建议标准腹股沟淋巴结清扫术作为阴茎浸润癌患者的最小治疗方式。
