阴茎转移癌6例报告及文献复习  

Penile Metastatic Carcinoma:a Report of 6 Cases and Literature Review

作　　者：单勇[1] 徐明曦[2] 王忠[2] 张克[2] 

机构地区：[1]江苏省泰州市第二人民医院泌尿外科,江苏泰州225500 [2]上海交通大学医学院附属第九人民医院泌尿外科,上海200011

出　　处：《中国临床医学》2014年第6期686-688,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨阴茎转移癌的诊断和治疗特点。方法:结合文献,对6例阴茎转移癌的诊断、临床表现、病理、治疗及预后进行分析。结果:6例阴茎转移癌中,原发肿瘤肺来源2例(其中1例为罕见的肺上皮样血管内皮瘤),膀胱来源2例,肝来源1例,前列腺来源1例。6例中5例表现为阴茎硬结,其中3例合并阴茎胀痛感,1例合并急性尿潴留,1例为阴茎异常勃起。6例均接受手术切除、化疗或放疗,随访至今,1例存活,5例病死。结论:肿瘤转移至阴茎非常少见,预后极差,手术切除联合化疗、放疗或内分泌治疗可改善症状,但不能延长生命。Objective：To explore the diagnosis and treatment of penile metastatic carcinoma.Methods：The diagnosis,clinical characteristics,pathological features,treatments and prognosis of 6 patients with metastatic carcinoma,were analyzed and the related literature were reviewed.Results：Among the 6 cases of penile metastatic carcinoma,there were two cases whose carcinoma originated from lung,one case of whom was rare pulmonary epithelioid hemangioendothelioma;two cases originated from bladder;one case originated from liver;one case originatd from prostate.There were 5 cases featured as penile nodules and 3cases of them were combined with pain,and one case of them was combined with acute urinary retention.One case of featured priapism.All the patients received surgical resection,chemotherapy and radiotherapy.One patient survived and the other five patients died.Conclusions：Penile metastatic carcinoma is very rare and its prognosis is extremely poor.Surgical resection combined with chemotherapy or radiotherapy or endocrine therapy may improve symptoms,but can not prolong the survival period of patients.

关 键 词：阴茎癌 阴茎转移 阴茎继发肿瘤 

分 类 号：R737.27[医药卫生—肿瘤]