直肠癌阴茎转移1例报告并文献复习  

Penile metastasis from rectal carcinoma: A case report and literature review

作　　者：罗能钦[1] 张志华[1] 马应 

机构地区：[1]甘肃省人民医院泌尿外科,甘肃兰州730000 [2]金昌市八冶医院内二科,甘肃金昌737100

出　　处：《中华男科学杂志》2014年第4期359-362,共4页National Journal of Andrology

摘　　要：目的:提高对阴茎转移癌诊断和治疗的认识。方法:报道1例54岁直肠腺癌阴茎转移患者资料,结合文献讨论其好发部位、临床表现、发病机制和诊疗措施。结果:患者原发肿瘤与周围组织粘连严重,且有肝转移可能,行横结肠双腔造瘘术,术后给予奥沙利铂、替加氟及亚叶酸钙化疗,患者存活10个月,死于多器官功能衰竭。结论:阴茎转移癌预后差,但早期明确诊断和针对原发肿瘤合理的综合治疗和个体化治疗措施有助于提高患者生活质量、减少痛苦和延长生命。Objective： To improve the diagnosis and treatment of penile metastasis from rectal carcinoma. Methods： We reported a case of penile metastasis secondary to rectal adenocarcinoma, reviewed the relevant literature, and discussed the common ori- gins, clinical features, pathogenic mechanisms, diagnosis and treatment of this disease. Results： The patient was a 54-year-old male, with metastatic penile tumors secondary to rectal adenocarcinoma, with serious adhesion to the surrounding tissue and metastasis to the liver. As treatment, we performed colostomy to relieve voiding difficulty, followed by combination chemotherapy with oxaliplatin, 5-fluorouracil, and levofolinate. The patient died 10 months later as a result of systemic failure. Conclusion ： Penile metastatic ma- lignancy has a poor prognosis. Early diagnosis and combined and individualized therapies may improve the quality of life, relieve pain and prolong the life of the patient.

关 键 词：阴茎肿瘤 转移 直肠腺癌 

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