Arai Y, Kinouchi T, Kuroda M, Usami M, Kotake T
Department of Urology, Osaka Medical Center for Cancer and Cardiovascular Diseases.
Hinyokika Kiyo. 1997 Sep;43(9):683-5.
We report a case of scrotum with inguinal lymph node metastasis which was successfully treated by multidisciplinary modalities including combination chemotherapy and radiotherapy. A 60-year-old man was admitted with ulcerative induration of the scrotum and inguinal lymph node swelling. Biopsy of the scrotal skin showed squamous cell carcinoma. He received 4 courses of combination chemotherapy with methotrexate, bleomycin and cisplatin. The primary lesion disappeared macroscopically and metastatic lymphadenopathy showed 50% reduction in size. Both lesions were further treated with radiotherapy (60 Gy). Because the primary lesion became ulcerative 7 months after irradiation, partial resection of the scrotum was performed. He has been free of recurrence 22 months after chemotherapy.
我们报告一例阴囊伴腹股沟淋巴结转移的病例，该病例通过包括联合化疗和放疗在内的多学科治疗方式成功治愈。一名60岁男性因阴囊溃疡性硬结和腹股沟淋巴结肿大入院。阴囊皮肤活检显示为鳞状细胞癌。他接受了4个疗程的甲氨蝶呤、博来霉素和顺铂联合化疗。原发灶肉眼可见消失，转移性淋巴结肿大缩小了50%。两个病灶均进一步接受了放疗（60 Gy）。由于放疗7个月后原发灶出现溃疡，遂行阴囊部分切除术。化疗后22个月他一直无复发。
