阴茎癌56例临床分析

目的 :探讨阴茎癌有效合理的治疗方法。方法 :总结分析 5 6例阴茎癌发病及治疗情况 ,其中鳞状细胞癌5 0例 ,乳头状瘤癌变 6例 ,行阴茎部分切除术 48例 ,阴茎全切并会阴部造口术 6例 ,双腹股沟淋巴清扫术 10例 ,包皮环切并血卟啉光敏治疗 2例。结果 :5 1例获得随访。行阴茎部分切除术者 5年和 10年生存率分别为83 3 %和 80 % ,行阴茎全切术者 5年生存率为 6 6 8%。结论 :包茎及包皮过长是导致阴茎癌的主要诱因。对于Ⅰ、Ⅱ期阴茎癌行阴茎部分切除术疗效确切

Clinical analysis of 56 cases of penial cancer

Objective： To probe effective yet rational treatment for penial cancer.Methods： To analyze the treatments for 56 cases of carcinoma of the penis. Of these, 50 cases were squamous cell carcinoma with the rest(6 cases) being malignant change of the papiloma. 48 cases underwent partial penial amputation; 6 cases had panpenial amputation plus perineal urethrastomy;10 cases received bilateral inguinal lymphnode dissection; and 2 cases were given penial circumcision plus hematoporphyrin sensitivity therapy.Results： 51 cases were followed up. The 5-year and 10-year survival rates seen in patients who had undergone partial penial cut-off were 83.3% and 80% respectively; while those receiving panpenial amputation enjoyed a 5-year survival in 66.8% of them.Conclusion： The phimosis and the redundant prepuse are the chief causes for this malignancy. Precise treatment results have been observed from thouse who underwent partial penial cut-off in patients with phase-Ⅰ and phase-Ⅱ carcinoma of the penis.