[42例阴茎癌病例回顾]
[Review of 42 cases of penile carcinoma].
作者信息
Portillo Martín J A, Martín García B, Hernández Rodríguez R, Correas Gómez M, Gutíerrez Baños J L, Valle Schaan J I, Monge Mirallas J M, Roca Edreira A, Villanueva Peña A
机构信息
Hospital Universitario Marqués de Valdecilla, Santander, España.
出版信息
Arch Esp Urol. 1996 May;49(4):365-73.
OBJECTIVES
42 cases of penile carcinoma were retrospectively analyzed to determine the overall survival and the influence of treatment and inguinal lymph node metastasis on survival.
METHODS
The clinical records of 42 patients with penile carcinoma that had been treated at our hospital over a 17-year period were reviewed, with special reference to the epidemiological aspects, diagnosis, staging, treatment and overall survival.
RESULTS
The overall 5 and 10-year survival were 73% and 43%, respectively. Inguinal dissection was performed in 24% of the patients. The overall survival was better in those with no lymph node involvement.
CONCLUSIONS
Following local surgery of penile cancer, inguinal lymphadenectomy of palpable nodes is recommended to improve survival, if antibiotic treatment is not effective. Randomized and cooperative studies are necessary to assess the efficacy of prophylactic lymph node dissection and its influence on survival.
目的
回顾性分析42例阴茎癌患者，以确定其总生存率以及治疗和腹股沟淋巴结转移对生存的影响。
方法
回顾我院17年间收治的42例阴茎癌患者的临床记录，特别关注流行病学、诊断、分期、治疗和总生存率。
结果
5年和10年总生存率分别为73%和43%。24%的患者接受了腹股沟淋巴结清扫术。无淋巴结受累患者的总生存率更高。
结论
阴茎癌局部手术后，如果抗生素治疗无效，建议对可触及的淋巴结进行腹股沟淋巴结清扫术以提高生存率。有必要进行随机合作研究以评估预防性淋巴结清扫术的疗效及其对生存的影响。
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