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目的探讨阴茎鳞状细胞癌的特殊类型疣状癌误诊的原因和治疗方法。方法回顾分析9例阴茎疣状癌患者的诊治资料,患者平均年龄49岁,肿瘤呈菜花样生长。瘤体病现活检6例误诊。4例患者肿瘤局限于阴茎头者行肿瘤局部切除术,其余5例均行阴茎部分切除术。结果病理检查见肿瘤细胞分化良好,手术标本切缘未见肿瘤细胞。病理诊断均为“高分化鳞状细胞癌”。随访2-6年,平均3．8年,无1例肿瘤复发或转移。结论阴茎疣状癌细胞分化好,组织活检易误诊。由于其生物学行为以局部侵袭性生长为主,手术治疗预后好。
Objective To investigate the causes and treatment of misdiagnosis of specific types of verrucous carcinoma of penis squamous cell carcinoma. Methods Retrospective analysis of 9 cases of penile verrucous carcinoma in patients with diagnosis and treatment of data, the average age of 49 patients, the tumor was cauliflower-like growth. 6 cases of tumor biopsy is misdiagnosed. 4 patients with tumor confined to the penis head tumor resection, the remaining 5 cases underwent partial resection of the penis. Results The pathological examination showed that the tumor cells were well differentiated and the tumor cells were not seen on the margin of the surgical specimens. Pathological diagnosis is “highly differentiated squamous cell carcinoma.” Follow-up 2-6 years, an average of 3.8 years, no case of tumor recurrence or metastasis. Conclusions The penile verrucous carcinoma cells are well differentiated and biopsy can be easily misdiagnosed. Because of its biological behavior to local aggressive growth, surgical treatment of good prognosis.