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阴茎海绵体肉瘤(附2例报告并文献复习)
引用本文:朱选文,郭君平,陈晖,任国平,李方印,方家杰,钟达川. 阴茎海绵体肉瘤(附2例报告并文献复习)[J]. 中华男科学杂志, 2007, 13(10): 915-917
作者姓名:朱选文  郭君平  陈晖  任国平  李方印  方家杰  钟达川
作者单位:1. 浙江大学医学院附属第一医院,泌尿外科,浙江,杭州,310003
2. 新昌县中医院泌尿外科,浙江,新昌,312500
3. 浙江大学医学院附属第一医院,病理科,浙江,杭州,310003
摘    要:
目的:探讨阴茎海绵体肉瘤的临床表现、诊断和处理方法。方法:回顾性分析2例原发性阴茎海绵体肉瘤的病理和临床资料,并复习文献进行讨论。结果:2例均行阴茎全切术,术后病理证实1例为阴茎海绵体上皮样血管内皮肉瘤,术后3个月出现肺部转移,8个月后死亡;1例为阴茎海绵体上皮样肉瘤,术后半个月出现脑部转移,1个月后死亡。结论:阴茎海绵体肉瘤罕见,确诊依靠病理,治疗主张行阴茎全切术,淋巴清扫多不必施行,易远处转移,预后较差。

关 键 词:阴茎肿瘤  上皮样肉瘤  上皮样血管肉瘤  诊断  治疗
文章编号:1009-3591(2007)10-0915-03
收稿时间:2007-03-05
修稿时间:2007-06-20

Deep Sarcoma of the Penis: A Report of 2 Cases and Review of the Literature
ZHU Xuan-wen,GUO Jun-ping,CHEN Hui,REN Guo-ping,LI Fang-yin,FANG Jia-jie,ZHONG Da-chuan. Deep Sarcoma of the Penis: A Report of 2 Cases and Review of the Literature[J]. National journal of andrology, 2007, 13(10): 915-917
Authors:ZHU Xuan-wen  GUO Jun-ping  CHEN Hui  REN Guo-ping  LI Fang-yin  FANG Jia-jie  ZHONG Da-chuan
Affiliation:1. Department of Urology, 2. Department of Pathology, the First Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, China; 3. Department of Urology, Xinchang Hospital of Traditional Chinese Medicine, Xinchang , Zhejiang 312500, China
Abstract:
OBJECTIVE: To investigate the clinical characteristics, diagnosis, treatment and prognosis of deep sarcoma of the penis. METHODS: The pathological and clinical data of 2 cases of deep sarcoma of the penis were analyzed retrospectively and the literature reviewed. RESULTS: Both of the cases were treated by total penectomy. Epithelioid angiosarcoma of the penis was confirmed by postoperative pathology in one patient, who died of pulmonary metastasis in the eighth month after the operation; and epithelioid sarcoma of the penis was confirmed in the other, who died of brain metastasis in the second month after the operation. CONCLUSION: Deep sarcoma of the penis is rare but can be diagnosed pathologically. Total penectomy is the main option for its treatment. Node dissection, with poor prognosis, is not recommended unless adenopathy is palpable.
Keywords:penile tumor   epithelioid sarcoma   epithelioid angiosarcoma   diagnosis   treatment
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