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早期阴茎癌保留阴茎的肿瘤切除术8例临床分析
引用本文:黄骥,熊剑勇,涂新华,郝超.早期阴茎癌保留阴茎的肿瘤切除术8例临床分析[J].中国现代医生,2018,56(2):80-85.
作者姓名:黄骥  熊剑勇  涂新华  郝超
作者单位:江西省肿瘤医院泌尿外科;
摘    要:目的研究早期阴茎癌患者选择保留阴茎的手术方式及治疗效果。方法 8例早期阴茎癌患者术前常规检查未发现淋巴结转移及远处转移,术前行病理活检或术中冰冻病理检查明确阴茎鳞癌,行手术切除肿瘤病灶,保留阴茎的解剖完整性及功能完整性。结果随访2~5年,8例均成活,其中无复发5例,复发后补充手术2例,出现腹股沟淋巴结转移1例。结论早期阴茎癌行保留阴茎的手术效果良好,但需要严格把握入组标准及掌握相应手术技巧。

关 键 词:早期阴茎癌  阴茎保留手术  性功能  预后

Clinical analysis of 8 cases of early penile cancer resection for retaining penis
Abstract:Objective To study the surgical methods and therapeutic effect of selection of retaining penis in the patients with early penile cancer.Methods There were no lymph node metastasis and distant metastasis in 8 patients with early penile cancer in the preoperative routine examination.Preoperative pathological biopsy or intraoperative frozen pathological examination confirmed penile squamous cell carcinoma.Surgical removal of tumor lesions was carried out,and the penile anatomical integrity and functional integrity were retained.Results After 2 to 5 years of follow-up,8 patients survived.Among them,6 cases had no recurrence,1 case had recurrence and was given supplementary surgery,and 1 case had inguinal lymph node metastasis.Conclusion The surgical effect for retaining penis in the early penile cancer is favorable,but the enrollment standard should be strictly controlled and the corresponding surgical techniques should be mastered.
Keywords:Early penile cancer  Penile retaining surgery  Sexual function  Prognosis
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