阴茎疣状癌的临床诊断和治疗  

Diagnosis and treatment of penile verrucous carcinoma

作　　者：韩邦旻[1] 杨明山[2] 路光中[3] 朱江[1] 鲁军[1] 凡杰[1] 夏术阶[1] 

机构地区：[1]上海交通大学附属第一人民医院泌尿外科,上海200080 [2]山东省肿瘤医院泌尿外科,山东济南250117 [3]上海交通大学附属第一人民医院病理科,上海200080

出　　处：《中华肿瘤防治杂志》2008年第9期709-710,720,共3页Chinese Journal of Cancer Prevention and Treatment

摘　　要：为了探讨阴茎癌的少见类型疣状癌的临床诊断和治疗,结合文献回顾性分析6例阴茎疣状癌的临床资料。6例患者全部为包皮过长或包茎,肿块直径0.4~6cm;基底位于包皮内板2例,局限于龟头3例,侵犯冠状沟近侧1例;3例经活检确诊,1例误诊为乳头状瘤,1例经反复复发切除4次尚确诊。所有患者均经手术治疗,其中阴茎部分切除4例,包皮环切1例,局部切除1例。所有患者均未行腹股沟淋巴结清除以及放化疗。行包皮环切的1例患者,术后3个月发现阴茎结节,活检确诊为前次手术结扎线头的炎症反应,随访至今3年,未见复发;其余患者随访0.5~8年,1例患者自然死亡,其余患者均未见肿瘤复发或转移。初步研究结果提示,阴茎疣状癌细胞分化良好,以局部侵袭性生长为主,几乎不发生淋巴结等远处转移,活检方法不当易于误诊,恰当的手术切除效果肯定,应最大限度保留阴茎外观和功能,但术后应严密观察局部复发。The objective of this study was to report the experience with verrucous carcinoma of the penis. Six cases of verrucous carcinoma were concluded. The histological and clinical features, diagnosis and treatment of these patients were discussed and current literature reviewed. All the tumors showed exophytic lesions,ranging from 0.4 to 6 cm in the greatest dimension. The tumor located at glans in 3 cases, 2 cases at prepuce and the other invaded to the shaft of penis. The diagnosis were confirmed by biopsy in ...

关 键 词：癌 疣状/外科学 疣状/诊断 阴茎肿瘤/治疗 

分 类 号：R737.27[医药卫生—肿瘤]