阴茎上皮样肉瘤1例报告  

Report of a Case of Penile Epithelioid Sarcoma

作　　者：龚侃[1] 张宁[1] 辛钟成[1] 曾荔[1] 林桂亭[1] 那彦群[1] 

机构地区：[1]北京大学第一医院泌尿外科

出　　处：《中华男科学杂志》2004年第3期205-207,共3页National Journal of Andrology

摘　　要：目的 :提高对阴茎上皮样肉瘤的认识及诊治效果。　方法 :根据 1例罕见阴茎上皮样肉瘤的诊治经过 ,结合文献 ,就其特点、鉴别诊断及治疗方法进行分析。　结果 :术前活检为阴茎上皮样肉瘤 ,行阴茎全切加尿道会阴造口术治疗。术后病理和免疫组化检查确诊为阴茎上皮样肉瘤。随访 3年无肿瘤复发。　结论 :当发现阴茎近端肿物、阴茎硬结和尿道梗阻等症状时 ,应考虑到阴茎上皮样肉瘤的可能。治疗宜行阴茎全切术 ,除非可以触及肿大淋巴结 。Objective: To enhance the knowledge and the effect of the diagnosis and treatment of primary epithelioid sarcoma of the penis. Methods: One rare case of primary epithelioid sarcoma of the penis was studied with regard to its primary clinical process and characteristics, differential diagnosis and method of treatment. Results: An operation was performed on the penis to treat the epithelioid sarcoma. The diagnosis was confirmed by immunohistological and pathological techniques. There was no evidence of relapse during the three year follow up after operation. Conclusion: The possibility of primary epithelioid sarcoma of the penis should be considered if a mass or induration of the proximal penis and the symptoms of urethremphraxis are found. Total phallectomy could be chosen as an appropriate method of treatment. Unless adenopathy is palpable, node dissections are not recommended.

关 键 词：阴茎肿瘤 上皮样肉瘤 阴茎全切术 鉴别诊断 治疗方法 

分 类 号：R737.27[医药卫生—肿瘤]