阴茎肿瘤24例临床分析

目的：寻求阴茎肿瘤有效合理的治疗方法。方法：总结分析了阴茎肿瘤24例，其中鳞状细胞癌21例，基底细胞癌1例，鳞状上皮乳头状瘤1例，Paget's病1例，行单纯性包皮环切术1例，行激光电灼术1例，阴茎部分切除术17例，阴茎全部切除并尿道会阴道造口术2例，随后行双侧腹股沟淋巴结清扫术1例，单侧腹股沟淋巴结清扫术2例（其中1例加盆腔淋巴结清扫）。3例病人放弃治疗。结果：21例获得随访，行阴茎部分切除术者5年以上生存率为88％，行阴茎全切除术者5年生存率为100％。结论：包茎、包皮过长及不良的卫生习惯是导致阴茎癌的主要因素。阴茎部分切除术是治疗I、Ⅱ期阴茎癌十分合理和有效的方法。对于有明显转称者，应积极行腹股沟淋巴结清扫术。

Carcinoma of the Penis: A Report of 24 Cases

Objective: To investigate effective and advisable treatment for carcinoma of penis. Methods: Data of 21 patients with squamous cell carcinoma, 1 case with basal cell carcinoma, 1 case with malignant change of papilloma and 1 case with Paget's disease were reviewed. 17 cases received partial amputation of the penis and 2 cases received total penis amputation with perineal urethrastomy, 1 case received electrocautery, 1 case received simple posthetomy.3 cases received inguinal lymph node dissection. 3 cases refused to be treated. 21 of all patients were followed - up. Results: The 5 - year survival rate after surgery were 88 % and 100 % in the group of patients with partial amputation and in patients with total amputation respectively. Conclusion: The phimosis, the redundant prepuce and bad health habit may be the main risk factors for the disease. The effect of the surgical treatment for carcinoma of the penis is good and the survival rate of the patients is higher. The biopsy for inguinal lymph node before dissection is necessary.