【摘要】 报告 30例阴茎癌 ,其中行阴茎部分切除术 2 1例、阴茎全切并尿道会阴部造瘘 9例。术后均行股淋巴结活检 ,对 14例有癌转移者行双侧腹股沟淋巴结清扫术。 2 4例获得随访 ,阴茎部分切除术者 3年、5年生存率分别为 86 .7%和 73.3% ,阴茎全切术者则分别为 88.9%和 77.8% ;无淋巴结转移者 3年、5年生存率分别为92 .9%和 85 .7% ,有淋巴结转移者则分别为 6 0 %和 40 %。认为包茎与包皮过长是阴茎癌的主要诱因 ,阴茎部分切除术治疗阴茎癌有效 ,其 3年、5年生存率与手术方式关系不大 ,而与有无淋巴结转移有关。股淋巴结为阴茎癌最早转移部位 ,宜及早行 SL E活检。有明显转移者 ,应积极行腹股沟淋巴结清扫术。更多还原

【Abstract】 cases of patients with penile carcinoma were reported,21 of them were partial penile resection,the others were with total penile resection combining urethrostomy in perineum Biopsy of inguinal lymphanode was carried out for all the patients,14 positive cases were treated with clean bilateral lymphanodi resection 24 cases were followed,3-year and 5-year survival rates were 86 7% and 73 3% with partial penile resection,88 9% and 77 8% with total penile resection,92 9% and 85 7% with negative lymphanode,60% and 40% with positive lymphanode separately Phimosis and redundant of prepuce are the main causes of penile cancinoma Partial penile resection is an effective and vational method There is no relationship between the partial and total penile resection on 3 and 5-year survival rates,the inguinal lymphanode is sentinel node to penile carcinoma Once it was involved,the clean resection to inquinal lymphanodi should be performed actively更多还原