40例阴茎癌临床分析

目的探讨阴茎癌诊断治疗方法。方法总结40例阴茎癌诊治情况，其中鳞状细胞癌36例，疣状癌4例。手术治疗37例，其中行阴茎部分切除术28例，阴茎全切并会阴部造口术9例；其中12例行腹股沟淋巴结清扫术。结果37例获得随访1～10年。2、3和5年生存率分别为91．8％、86．4％和59．5％。结论包茎及包皮过长是导致阴茎癌的主要诱因。阴茎部分切除术是治疗阴茎癌合理有效的方法，应尽早治疗。术后生存时间与淋巴结转移有密切关系，与阴茎部分切除范围关系不大，有盆腔淋巴结转移者预后差。

Treatment of 40 Cases of Penile Cancer

Objective This study was to investigate reasonable curative methods for penile cancer. Methods Medical records of forty patients with penile cancer in the Department of Urology were analyzed. Thirty-six had squamous cell carcinoma, four had verrucous carcinoma. Twenty-eight patients received partial penectomy, nine received total penectomy and perineal urethrostomy, twelve patients received ilioinguinal lymphadenectomy. Results Thirty-seven cases were regularly followed up for one to ten years. The 2-,3-and 5-year survival rates were 91.8%, 86.4% and 59.5% respectively. Conclusion Phimosis and redundant prepuce is the main cause leadings to penile cancer. Partial penectomy is an appropriate and effective management for penile cancer. Lymph node metastasis is an important prognostic factor for penile cancer, but is not important for penile resection of range. The prognosis is poor for patients with pelvic lymph node metastases.