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报告 30例阴茎癌 ,其中行阴茎部分切除术 2 1例、阴茎全切并尿道会阴部造瘘 9例。术后均行股淋巴结活检 ,对 14例有癌转移者行双侧腹股沟淋巴结清扫术。 2 4例获得随访 ,阴茎部分切除术者 3年、5年生存率分别为 86 .7%和 73.3% ,阴茎全切术者则分别为 88.9%和 77.8% ;无淋巴结转移者 3年、5年生存率分别为92 .9%和 85 .7% ,有淋巴结转移者则分别为 6 0 %和 40 %。认为包茎与包皮过长是阴茎癌的主要诱因 ,阴茎部分切除术治疗阴茎癌有效 ,其 3年、5年生存率与手术方式关系不大 ,而与有无淋巴结转移有关。股淋巴结为阴茎癌最早转移部位 ,宜及早行 SL E活检。有明显转移者 ,应积极行腹股沟淋巴结清扫术。
Report 30 cases of penile cancer, including partial penile resection in 21 cases, penile resection and urethral perineal fistula in 9 cases. Postoperative lymph node biopsy, 14 patients with cancer metastasis underwent bilateral inguinal lymphadenectomy. 24 cases were followed up for 3 years. The 5-year survival rates were 86.7% and 73.3% respectively for penile partial resection and 88.9% and 77.8% for penile total resection respectively. In those with no lymph node metastasis for 3 years and 5 years The annual survival rates were 92.9% and 85.7% respectively, while those with lymph node metastases were 60% and 40% respectively. That phimosis and prepuce is the main cause of penile cancer, penile partial resection for the treatment of penile cancer, the 3-year, 5-year survival rate has little to do with the surgical approach, with or without lymph node metastasis. Unit lymph node is the earliest metastatic site of penile cancer, SL E biopsy should be early. Significant metastasis, should be actively performed groin lymph node dissection.