细针吸取细胞学诊断阴茎转移性直肠腺癌1例并文献复习  

Penile metastasis from rectal adenocarcinoma diagnosed by fine-needle aspiration: a case report and literature review

作　　者：郑金榆[1] 屈峰[2] 柏涛[1] 聂进军[1] 章宜芬[1] 

机构地区：[1]南京大学医学院附属南京鼓楼医院病理科,江苏南京210008 [2]南京大学医学院附属南京鼓楼医院泌尿外科,江苏南京210008

出　　处：《现代肿瘤医学》2013年第1期110-111,共2页Journal of Modern Oncology

摘　　要：目的:提高对阴茎转移性癌的认识及探讨阴茎肿块的诊断方法。方法:对1例阴茎硬结行细针吸取(fine-needle aspiration,FNA)操作及细胞学检查。结果:细胞学涂片见大量高柱状肿瘤细胞,部分细胞可见腺腔样排列,背景中见大量坏死,结合病史考虑阴茎转移性直肠腺癌。结论:阴茎转移性癌少见。其临床主要表现为阴茎硬结、异常勃起等。FNA检查安全、微创、高效、诊断准确,可作为诊断阴茎转移癌的首选方法。Objective：To urge the awareness of penile metastatic carcinoma and to investigale Ihe procedures of diagnosing penile tumors. Methods： Fine -needle aspiration （FNA） cytology from the penile nodule was performed in one ease. Results： The smears showed a highly cellular aspirate consisting of columnar neoplastie cells which showed glandular pattern in some areas. Necrosis couht be appreciated all over the smears. Considering the histo~ of rectal adenocarcinoma, the cytological diagnosis was metastatic rectal adenocarcinoma of penile. Conclusion： Sec- ondary tumors of the penis are rare. The most frequent symptoms of seeonda~ tumors of the penis are nodule （s） and/or priapism. FNA is a safe, minimally invasive, effective, and highly accurate procedure in diagnosing penile lesions, and thus FNA can be the first choice for diagnostic approach to penile nodules.

关 键 词：阴茎肿瘤 转移 直肠癌 细针吸取 

分 类 号：R735.37[医药卫生—肿瘤] R737.27[医药卫生—临床医学]